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Related Concept Videos

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Updated: Apr 30, 2026

Vessel-sparing Excision and Primary Anastomosis
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Ejaculation Sparing Bladder Neck Incision for Young Men With Primary Bladder Neck Obstruction.

Sanjay Sinha1, Daxay Lakhani1, Ch Ram Prasad1

  • 1Department of Urology, Apollo Hospital, Hyderabad, India.

International Journal of Urology : Official Journal of the Japanese Urological Association
|April 28, 2026
PubMed
Summary
This summary is machine-generated.

Ejaculation-sparing bladder neck incision effectively treats primary bladder neck obstruction in young men, preserving antegrade ejaculation and improving urinary flow. This safe surgical option offers significant clinical benefits with minimal complications.

Keywords:
bladder outflow obstruction indexdetrusor contraction indexejaculation sparing bladder neck incisionejaculatory dysfunctionprimary bladder neck obstructionvideourodynamicsyoung men

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Area of Science:

  • Urology
  • Surgical Innovation
  • Male Reproductive Health

Background:

  • Primary bladder neck obstruction (PBNO) significantly impacts quality of life in young men.
  • Traditional bladder neck surgeries can compromise ejaculatory function.
  • There is a need for effective treatments that preserve sexual health.

Purpose of the Study:

  • To evaluate the clinical and ejaculatory outcomes of ejaculation-sparing bladder neck incision (ESBNI).
  • To assess the efficacy of ESBNI in young men (≤40 years) with videourodynamically confirmed PBNO.

Main Methods:

  • Retrospective cohort study with prospective outcome assessment.
  • ESBNI performed at the 6 o'clock position.
  • Ejaculatory function assessed using the Male Sexual Health Questionnaire-Ejaculatory Dysfunction Short Form (MSHQ-EjD-SF).

Main Results:

  • 100% of patients preserved antegrade ejaculation; 90% had normal ejaculatory function.
  • Median postoperative maximum flow rate (Qmax) was 17 mL/s, with 67% achieving normal flow.
  • 18/19 catheter-dependent patients became catheter-free; minimal complications reported.

Conclusions:

  • ESBNI is a safe and effective surgical option for young men with PBNO.
  • The procedure provides meaningful improvement in urinary flow.
  • Reliable preservation of ejaculation is a key benefit of ESBNI.