Modified transurethral bladder neck incision in treatment of female bladder neck obstruction
10.3760/cma.j.issn.1673-4904.2019.05.012
- VernacularTitle:改良经尿道膀胱颈切开术治疗女性膀胱颈梗阻
- Author:
Xin LI
1
;
Wensheng WANG
Author Information
1. 北京市海淀医院(北京大学第三医院海淀院区)泌尿外科 100080
- Keywords:
Urinary bladder neck obstruction;
Transurethral incision of bladder neck;
Female
- From:
Chinese Journal of Postgraduates of Medicine
2019;42(5):426-428
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of modified transurethral bladder neck incision in treatment of female bladder neck obstruction. Methods Sixteen female patients with bladder neck obstruction from March 2008 to May 2016 in Beijing Haidian Hospital were selected, and the patients were treated with modified transurethral bladder neck incision at the 3, 6 and 9-O′clock positions. The international prostate symptom score (IPSS), quality of life (QOL) and maximum urinary flow rate (Qmax) were evaluated before surgery and 1 year after surgery respectively. Results All 16 patients underwent successful operation, and the mean operation duration was 20 min, with the blood loss＜10 ml. The difficulty of urination after removing the catheter was significantly improved. Postoperative pathological results were chronic inflammatory changes with fibrous tissue proliferation. There was no complication such as urinary incontinence, vesico-vaginal fistula and urethral stricture after operation. The IPSS, QOL and Qmax after surgery were significantly improved compared with those before surgery: (6.43 ± 3.31) scores vs. (25.21 ± 4.71) scores, (1.41 ± 1.15) scores vs. (4.43 ± 1.36) scores and (15.36 ± 4.82) ml/s vs. (7.49 ± 2.27) ml/s, and there were statistical differences (P＜0.01). Conclusions The modified transurethral bladder neck incision is a safe and effective therapy for female bladder neck obstruction.
