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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 9, Issue 2, December 2013 pp 191-193

Research Article

Bladder Neckcontracture Following Turp – Personal Experience

RahimanMujeebM.¹, Manasa T.², Bharath S. V.³

{¹Associate professor and In charge, ²Assistant professor, Department of Urology}

{³Post Graduate, Department of General Surgery}

Academic Editor : Dr. Aher K.R.

Objective: To understand the incidence, clinical presentation, treatment options of bladder neck contracture after transurethral resection of prostate. Material and Methods: Medical data of 198 patients, who underwent transurethral resection of prostate from January 2008 to May 2009, were analyses. Data of patients with bladder neck contracture following TURP were further scrutinized. Exclusion criteria were urethral strictures, prostate cancer, patients with history of previous transurethral resection of prostate, prior instrumentation, bladder neck incision. Results: Of the 198 who underwent TURP bladder neck contracture was observed in 12 patients. Mild, moderate, severe (diaphragm type) contracture was observed in 3, 6, 3 patients respectively. Treatment included dilatation in 3(mild contracture), incision in 6(moderate contracture) incision and hot loop electro resection in 3(severe contracture) patients. The 3 patients who were treated initially by urethral dilatation had symptom recurrence in 4 weeks and were subsequently dealt by bladder neck incision. Of the 6 patient streated by bladder neck incision, 3 were symptom free after a single session,1 needed a further bladder neck incision for cure and 2 required bladder neck incisions twice for cure. Of the 3 patients with severe(diaphragm type)contracture 1was symptom free after a single session but 2 became symptomatic within three months and required incision on two occasions. Conclusion: Bladder neck stenosis after transurethral prostate surgery is diagnosed either by symptoms or urethrocystoscopy. The incidence of recurrence after bladder neck dilatation is100%even in mild type of bladder neck contracture. The best results for treatment of the contracture are obtained after bladder neck incision, which gives an incidence of recurrence only up to 50% after a single session.