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[Transurethral endoscopic dissection of the bladder neck and prostate]
Summary
Transurethral endoscopic incision effectively treated infravesical obstruction in most patients with benign prostatic hyperplasia (BPH) or bladder neck sclerosis. This minimally invasive procedure offered significant symptomatic improvement for 97% of individuals.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Infravesical obstruction due to benign prostatic hyperplasia (BPH) or bladder neck sclerosis impacts bladder function.
- Small BPH and bladder neck sclerosis require effective treatment options.
Purpose of the Study:
- To evaluate the efficacy of transurethral endoscopic incision for infravesical obstruction.
- To assess outcomes in patients with benign prostatic hyperplasia and bladder neck sclerosis.
Main Methods:
- Transurethral endoscopic incision of the bladder neck and prostate in 37 patients.
- Diagnosis via routine tests, imaging, uroflowmetry, and cystoscopy.
- Symptom assessment using the J-PSS questionnaire.
Main Results:
- Marked symptomatic improvement in 36 out of 37 patients (97%).
- Procedure effective for benign prostatic hyperplasia and bladder neck sclerosis.
- One patient with BPH required subsequent transurethral resection.
Conclusions:
- Transurethral endoscopic incision is a safe and highly effective treatment for infravesical obstruction.
- The procedure offers significant symptomatic relief for BPH and bladder neck sclerosis.
- Minimally invasive approach with a high success rate.