Bladder neck incision in the female: a hazardous procedure?

Area of Science:

• Urology
• Female Pelvic Medicine

Background:

• Difficult and incomplete bladder emptying affects many female patients.
• Iatrogenic bladder neck obstruction can cause voiding dysfunction.

Purpose of the Study:

• To evaluate the efficacy of anterior bladder neck incision in female patients with voiding dysfunction.
• To analyze urodynamic findings and outcomes of bladder neck incision in women.

Main Methods:

• 32 female patients with voiding difficulties underwent anterior bladder neck incision.
• Comprehensive urodynamic investigation, including voiding cystourethrography and endoscopy, was performed.
• Patient outcomes were assessed post-procedure.

Main Results:

• 56% of patients experienced some degree of benefit from the procedure.
• Detrusor failure was identified in 20 patients.
• Two patients developed severe stress incontinence following the procedure, with six requiring repeat incisions.

Conclusions:

• Anterior bladder neck incision shows limited success in female patients with voiding dysfunction.
• Poorer outcomes in women may be linked to a decompensated bladder state.
• Intermittent self-catheterisation is a potential alternative to mitigate risks like incontinence.