Bladder Neckcontracture Following Turp – Personal Experience
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 9, Issue 2
Abstract
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.
Authors and Affiliations
RahimanMujeebM , Manasa T , Bharath S. V
Keywords
Related Articles
- EP ID EP104966
- DOI -
- Views 119
- Downloads 0
Cutaneous Larva Migrans: Diagnosis on Fine Needle Aspiration
Cutaneous larva migrans is a skin disease in humans caused by larva of nematode parasites of hookworm family. The diagnosis of Cutaneous larva migrans is based mainly on clinicalfeatures and history. On review of litera...
A study of immunization coverage in the rural field practice area
effective and easy methods for the healthy well-being of a child is immunization. Aims and Objective: To Study Immunization Coverage in the Rural Field Practice Area. Methodology: It was a community based cross sectional...
Conceptual study of USHNODAKA in relation to anupana
An ancient science of life i.e. Ayurveda blessed us with their Basic principles, prevention techniques and treatments of diseases. The ancient Acharyas have told us prevention techniques like Dincharya, Rutucharya, Sadvr...
Effect on NCV in Sensory Nerves of Diabetes
Background objective: The present study was carried out to measure NCV of sensory nerve in diabetics and non- diabetics. Material and Method: 100 subjects were enrolled, 90 subjects were selected as subject group, 10 wer...
A Study of Peak Expiratory Flow Rate in Children
Background: A lot of age-specific variations in Peak Expiratory Flow Rate (PEFR) are expected in paediatrics age group compared to adults. Therefore availability of normal values for different age group is absolutely ess...