Managing Bladder-Neck Stenosis With "Cystoscopy and Proceed" Method: Our Experience.

Area of Science:

• Urology
• Surgical Innovation
• Patient Outcomes

Background:

• Bladder-neck stenosis (BNS) causes urinary obstruction due to poor bladder neck relaxation.
• Cystoscopy and bladder-neck incision (BNI) are key diagnostic and treatment tools for BNS.
• Underutilization of cystoscopy for BNS diagnosis is noted due to patient and physician factors.

Purpose of the Study:

• Evaluate the effectiveness of the "cystoscopy and proceed" approach for BNS management.
• Measure treatment success by uroflowmetry (Qmax) improvement.
• Assess long-term outcomes including recurrence, symptom burden (IPSS), quality of life (SF-36), and complications.

Main Methods:

• Retrospective observational study at a private urology center.
• Included 10 patients with cystoscopically confirmed BNS.
• Collected preoperative/postoperative data and conducted 10-18 month follow-ups using IPSS and SF-36.

Main Results:

• All 10 patients showed improved uroflowmetry (Qmax increase of 14.33, 738.1%).
• Significant preoperative vs. postoperative Qmax difference (p < 0.001).
• High patient satisfaction reported at follow-up (8/10 scored ≥70%).

Conclusions:

• Cystoscopy and BNI offer effective management for bladder-neck stenosis.
• The procedure leads to substantial improvements in uroflowmetry and patient satisfaction.
• This approach successfully restores urinary function and enhances quality of life.