Incisional treatment of obstruction of the female bladder neck

Obstruction of the female bladder neck has been treated in 9 cases by endourethral incision of the bladder neck anteriorly through an operating nasal speculum with very satisfactory results which compare very favourably with those of Y-V plastic reconstruction of the bladder neck in 8 similar cases. The advantages of the incisional technique are simplicity of the procedure, shorter operative time and postoperative stay, and absence of the need for blood transfusion; its complication rate is very low and the procedure may be repeated if necessary.