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Transurethral bladder neck incision in women with primary bladder neck obstruction
Summary Background Bladder outlet obstruction is an uncommon condition in women. Primary bladder neck obstruction is one of the functional causes of bladder outlet obstruction. We evaluated surgical treatment in our patients with primary bladder neck obstruction. Patients and methods We retrospectiv...
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| Published in: | Wiener Klinische Wochenschrift 2014-04, Vol.126 (7-8), p.217-222 |
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| container_issue | 7-8 |
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| container_title | Wiener Klinische Wochenschrift |
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| creator | Markić, Dean Maričić, Anton Oguić, Romano Španjol, Josip Rahelić, Dražen Rubinić, Nino Valenčić, Maksim |
| description | Summary
Background
Bladder outlet obstruction is an uncommon condition in women. Primary bladder neck obstruction is one of the functional causes of bladder outlet obstruction. We evaluated surgical treatment in our patients with primary bladder neck obstruction.
Patients and methods
We retrospectively evaluated the medical data of 47 female patients from the Department of Urology who underwent transurethral incision of the bladder neck from January 2000 to December 2012. All patients underwent transurethral bladder neck incision at the vesical neck and proximal urethra at the 5- and 7-o’clock positions. We compared symptoms and urodynamic parameters before and after the operation.
Results
Out of 47 female patients who underwent the operation, primary bladder neck obstruction was diagnosed in 42. The mean age was 44.3 ± 16.8 (range: 21–78) years. The postoperative maximal flow rates were significantly increased (20.6 ± 3.9 vs. 7.6 ± 3.2 mL/s,
P
|
| doi_str_mv | 10.1007/s00508-014-0502-z |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1530951658</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1530951658</sourcerecordid><originalsourceid>FETCH-LOGICAL-c344t-a29c789aebda3629195b262f3882648034ae5dd8880cad4f4ad4a0cc91a2a5b63</originalsourceid><addsrcrecordid>eNp9kE1Lw0AQhhdRbK3-AC-So5fV2a9kc5RiVSgIUs_LZrOxqUm27iaI_fVuSRW8eJkZmGdemAehSwI3BCC7DQACJAbCcRwo3h2hKUkJw1makWM0BeAMC0bFBJ2FsAFggmfkFE0o53lExBS9rLzuwuBtv_a6SYpGl6X1SWfNe1J3pg616-KQfLrWxlr362Tr61b7r7-sK0LvB9NH_BydVLoJ9uLQZ-h1cb-aP-Ll88PT_G6JDeO8x5rmJpO5tkWpWUpzkouCprRiUtKUS2BcW1GWUkowuuQVj0WDMTnRVIsiZTN0PeZuvfsYbOhVWwdjm0Z31g1BEcEgFyQVMqJkRI13IXhbqcMTioDaq1SjShVVqr1KtYs3V4f4oWht-Xvx4y4CdARCXHVv1quNG3wXX_4n9RtHg4Af</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1530951658</pqid></control><display><type>article</type><title>Transurethral bladder neck incision in women with primary bladder neck obstruction</title><source>Springer Link</source><creator>Markić, Dean ; Maričić, Anton ; Oguić, Romano ; Španjol, Josip ; Rahelić, Dražen ; Rubinić, Nino ; Valenčić, Maksim</creator><creatorcontrib>Markić, Dean ; Maričić, Anton ; Oguić, Romano ; Španjol, Josip ; Rahelić, Dražen ; Rubinić, Nino ; Valenčić, Maksim</creatorcontrib><description>Summary
Background
Bladder outlet obstruction is an uncommon condition in women. Primary bladder neck obstruction is one of the functional causes of bladder outlet obstruction. We evaluated surgical treatment in our patients with primary bladder neck obstruction.
Patients and methods
We retrospectively evaluated the medical data of 47 female patients from the Department of Urology who underwent transurethral incision of the bladder neck from January 2000 to December 2012. All patients underwent transurethral bladder neck incision at the vesical neck and proximal urethra at the 5- and 7-o’clock positions. We compared symptoms and urodynamic parameters before and after the operation.
Results
Out of 47 female patients who underwent the operation, primary bladder neck obstruction was diagnosed in 42. The mean age was 44.3 ± 16.8 (range: 21–78) years. The postoperative maximal flow rates were significantly increased (20.6 ± 3.9 vs. 7.6 ± 3.2 mL/s,
P
< 0.0001), and the postvoid residual urine was decreased (31.3 ± 7.8 vs. 132.1 ± 22.24 mL,
P
= 0.0002) compared with preoperative findings. Improvement was evident in most patients (83.3 %). A repeat operation had to be performed in seven patients (16.7 %). Operative therapy failed in one patient (2.4 %).
Discussion and conclusions
The diagnosis of primary bladder neck obstruction in women is based on typical symptoms, uroflowmetry and multichannel urodynamics, including electromyography. Videourodynamics is obligatory in doubtful cases. Transurethral bladder neck incision is an effective therapy for female patients with primary bladder neck obstruction, and if necessary, a second procedure can be safely performed.</description><identifier>ISSN: 0043-5325</identifier><identifier>EISSN: 1613-7671</identifier><identifier>DOI: 10.1007/s00508-014-0502-z</identifier><identifier>PMID: 24496715</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Adult ; Aged ; Cystectomy - methods ; Endocrinology ; Female ; Gastroenterology ; Humans ; Internal Medicine ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Pneumology/Respiratory System ; Treatment Outcome ; Urethra - surgery ; Urinary Bladder Neck Obstruction - diagnosis ; Urinary Bladder Neck Obstruction - surgery ; Young Adult</subject><ispartof>Wiener Klinische Wochenschrift, 2014-04, Vol.126 (7-8), p.217-222</ispartof><rights>Springer-Verlag Wien 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-a29c789aebda3629195b262f3882648034ae5dd8880cad4f4ad4a0cc91a2a5b63</citedby><cites>FETCH-LOGICAL-c344t-a29c789aebda3629195b262f3882648034ae5dd8880cad4f4ad4a0cc91a2a5b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24496715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Markić, Dean</creatorcontrib><creatorcontrib>Maričić, Anton</creatorcontrib><creatorcontrib>Oguić, Romano</creatorcontrib><creatorcontrib>Španjol, Josip</creatorcontrib><creatorcontrib>Rahelić, Dražen</creatorcontrib><creatorcontrib>Rubinić, Nino</creatorcontrib><creatorcontrib>Valenčić, Maksim</creatorcontrib><title>Transurethral bladder neck incision in women with primary bladder neck obstruction</title><title>Wiener Klinische Wochenschrift</title><addtitle>Wien Klin Wochenschr</addtitle><addtitle>Wien Klin Wochenschr</addtitle><description>Summary
Background
Bladder outlet obstruction is an uncommon condition in women. Primary bladder neck obstruction is one of the functional causes of bladder outlet obstruction. We evaluated surgical treatment in our patients with primary bladder neck obstruction.
Patients and methods
We retrospectively evaluated the medical data of 47 female patients from the Department of Urology who underwent transurethral incision of the bladder neck from January 2000 to December 2012. All patients underwent transurethral bladder neck incision at the vesical neck and proximal urethra at the 5- and 7-o’clock positions. We compared symptoms and urodynamic parameters before and after the operation.
Results
Out of 47 female patients who underwent the operation, primary bladder neck obstruction was diagnosed in 42. The mean age was 44.3 ± 16.8 (range: 21–78) years. The postoperative maximal flow rates were significantly increased (20.6 ± 3.9 vs. 7.6 ± 3.2 mL/s,
P
< 0.0001), and the postvoid residual urine was decreased (31.3 ± 7.8 vs. 132.1 ± 22.24 mL,
P
= 0.0002) compared with preoperative findings. Improvement was evident in most patients (83.3 %). A repeat operation had to be performed in seven patients (16.7 %). Operative therapy failed in one patient (2.4 %).
Discussion and conclusions
The diagnosis of primary bladder neck obstruction in women is based on typical symptoms, uroflowmetry and multichannel urodynamics, including electromyography. Videourodynamics is obligatory in doubtful cases. Transurethral bladder neck incision is an effective therapy for female patients with primary bladder neck obstruction, and if necessary, a second procedure can be safely performed.</description><subject>Adult</subject><subject>Aged</subject><subject>Cystectomy - methods</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Pneumology/Respiratory System</subject><subject>Treatment Outcome</subject><subject>Urethra - surgery</subject><subject>Urinary Bladder Neck Obstruction - diagnosis</subject><subject>Urinary Bladder Neck Obstruction - surgery</subject><subject>Young Adult</subject><issn>0043-5325</issn><issn>1613-7671</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kE1Lw0AQhhdRbK3-AC-So5fV2a9kc5RiVSgIUs_LZrOxqUm27iaI_fVuSRW8eJkZmGdemAehSwI3BCC7DQACJAbCcRwo3h2hKUkJw1makWM0BeAMC0bFBJ2FsAFggmfkFE0o53lExBS9rLzuwuBtv_a6SYpGl6X1SWfNe1J3pg616-KQfLrWxlr362Tr61b7r7-sK0LvB9NH_BydVLoJ9uLQZ-h1cb-aP-Ll88PT_G6JDeO8x5rmJpO5tkWpWUpzkouCprRiUtKUS2BcW1GWUkowuuQVj0WDMTnRVIsiZTN0PeZuvfsYbOhVWwdjm0Z31g1BEcEgFyQVMqJkRI13IXhbqcMTioDaq1SjShVVqr1KtYs3V4f4oWht-Xvx4y4CdARCXHVv1quNG3wXX_4n9RtHg4Af</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Markić, Dean</creator><creator>Maričić, Anton</creator><creator>Oguić, Romano</creator><creator>Španjol, Josip</creator><creator>Rahelić, Dražen</creator><creator>Rubinić, Nino</creator><creator>Valenčić, Maksim</creator><general>Springer Vienna</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Transurethral bladder neck incision in women with primary bladder neck obstruction</title><author>Markić, Dean ; Maričić, Anton ; Oguić, Romano ; Španjol, Josip ; Rahelić, Dražen ; Rubinić, Nino ; Valenčić, Maksim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-a29c789aebda3629195b262f3882648034ae5dd8880cad4f4ad4a0cc91a2a5b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cystectomy - methods</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Pneumology/Respiratory System</topic><topic>Treatment Outcome</topic><topic>Urethra - surgery</topic><topic>Urinary Bladder Neck Obstruction - diagnosis</topic><topic>Urinary Bladder Neck Obstruction - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Markić, Dean</creatorcontrib><creatorcontrib>Maričić, Anton</creatorcontrib><creatorcontrib>Oguić, Romano</creatorcontrib><creatorcontrib>Španjol, Josip</creatorcontrib><creatorcontrib>Rahelić, Dražen</creatorcontrib><creatorcontrib>Rubinić, Nino</creatorcontrib><creatorcontrib>Valenčić, Maksim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Wiener Klinische Wochenschrift</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Markić, Dean</au><au>Maričić, Anton</au><au>Oguić, Romano</au><au>Španjol, Josip</au><au>Rahelić, Dražen</au><au>Rubinić, Nino</au><au>Valenčić, Maksim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transurethral bladder neck incision in women with primary bladder neck obstruction</atitle><jtitle>Wiener Klinische Wochenschrift</jtitle><stitle>Wien Klin Wochenschr</stitle><addtitle>Wien Klin Wochenschr</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>126</volume><issue>7-8</issue><spage>217</spage><epage>222</epage><pages>217-222</pages><issn>0043-5325</issn><eissn>1613-7671</eissn><abstract>Summary
Background
Bladder outlet obstruction is an uncommon condition in women. Primary bladder neck obstruction is one of the functional causes of bladder outlet obstruction. We evaluated surgical treatment in our patients with primary bladder neck obstruction.
Patients and methods
We retrospectively evaluated the medical data of 47 female patients from the Department of Urology who underwent transurethral incision of the bladder neck from January 2000 to December 2012. All patients underwent transurethral bladder neck incision at the vesical neck and proximal urethra at the 5- and 7-o’clock positions. We compared symptoms and urodynamic parameters before and after the operation.
Results
Out of 47 female patients who underwent the operation, primary bladder neck obstruction was diagnosed in 42. The mean age was 44.3 ± 16.8 (range: 21–78) years. The postoperative maximal flow rates were significantly increased (20.6 ± 3.9 vs. 7.6 ± 3.2 mL/s,
P
< 0.0001), and the postvoid residual urine was decreased (31.3 ± 7.8 vs. 132.1 ± 22.24 mL,
P
= 0.0002) compared with preoperative findings. Improvement was evident in most patients (83.3 %). A repeat operation had to be performed in seven patients (16.7 %). Operative therapy failed in one patient (2.4 %).
Discussion and conclusions
The diagnosis of primary bladder neck obstruction in women is based on typical symptoms, uroflowmetry and multichannel urodynamics, including electromyography. Videourodynamics is obligatory in doubtful cases. Transurethral bladder neck incision is an effective therapy for female patients with primary bladder neck obstruction, and if necessary, a second procedure can be safely performed.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>24496715</pmid><doi>10.1007/s00508-014-0502-z</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Cystectomy - methods Endocrinology Female Gastroenterology Humans Internal Medicine Medicine Medicine & Public Health Middle Aged Original Article Pneumology/Respiratory System Treatment Outcome Urethra - surgery Urinary Bladder Neck Obstruction - diagnosis Urinary Bladder Neck Obstruction - surgery Young Adult |
| title | Transurethral bladder neck incision in women with primary bladder neck obstruction |
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