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[Primary bladder neck obstruction in males].
Pedro Navalón Verdejo1, Yoni Pallás Costa, Joaquín Juan Escudero
1Unidad de Urodinámica, Servicio de Urología, Hospital Casa de Salud, Valencia, España. pedronavalon@yahoo.com
Archivos Espanoles De Urologia
|May 27, 2006
Summary
This study highlights infravesical functional obstruction in young males. Endoscopic bladder neck incision effectively treats this condition, though patients must be informed about potential retrograde ejaculation risks.
Area of Science:
- Urology
- Andrology
Context:
- Infravesical functional obstruction is a rare condition affecting young males.
- Diagnosis and treatment of this entity can be challenging due to long-standing, non-specific lower urinary tract symptoms.
Purpose:
- To describe the experience with diagnosing and treating infravesical functional obstruction.
- To evaluate the efficacy of alpha-adrenergic blockers and endoscopic bladder neck incision.
Summary:
- Thirty-two males diagnosed with infravesical functional obstruction were evaluated.
- Medical management with alpha-adrenergic blockers showed limited success, while endoscopic unilateral bladder neck incision resulted in significant objective and subjective improvements in all treated patients.
- Urodynamic findings included reduced peak flow, elevated voiding detrusor pressure, and significant post-void residual volumes.
Impact:
- Endoscopic bladder neck incision is identified as the preferred treatment for infravesical functional obstruction.
- Informing young male patients about the risk of retrograde ejaculation is crucial due to potential fertility concerns.