Bladder neck obstruction in women: a real entity.

Area of Science:

• Urology
• Female Lower Urinary Tract Symptoms

Background:

• Bladder neck obstruction (BNO) is a rare cause of lower urinary tract symptoms in women.
• Diagnosis can be challenging due to non-specific symptoms and limitations of standard investigations.

Observation:

• Three female patients presented with chronic obstructive and irritative bladder symptoms.
• Clinical findings included bladder trabeculation, diverticula, and/or vesicoureteral reflux.
• Urinary flow rates were poor, and cystoscopy was unreliable for outlet evaluation.

Findings:

• Voiding pressure-flow cystourethrography (PFCUG) successfully established the diagnosis of BNO.
• This urodynamic study is essential for accurate assessment of bladder outlet obstruction.

Implications:

• Surgical intervention for BNO in women may be warranted.
• Urodynamic documentation, specifically PFCUG, is critical for guiding treatment decisions.
• Further research into the etiology and management of female BNO is needed.