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Outcome of endoscopic bladder transection

S T Hasan1, W A Robson, P D Ramsden

  • 1Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK.

British Journal of Urology
|May 1, 1995
PubMed
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Endoscopic bladder transection offers limited, transient symptom relief for patients with bladder instability. The procedure showed poor overall outcomes and did not significantly improve urodynamic results, questioning its continued use.

Area of Science:

  • Urology
  • Surgical Procedures
  • Lower Urinary Tract Symptoms

Background:

  • Idiopathic detrusor instability and related conditions significantly impact quality of life.
  • Pharmacological treatments are the first line of therapy for detrusor instability.
  • Endoscopic bladder transection has been explored as an alternative treatment option.

Purpose of the Study:

  • To evaluate the clinical, symptomatic, and urodynamic outcomes of endoscopic bladder transection.
  • To assess the long-term efficacy and safety of this surgical intervention.

Main Methods:

  • A prospective study involving 50 patients (20 men, 30 women) with diagnoses including idiopathic detrusor instability and enuresis.
  • Patients underwent full-thickness endoscopic bladder transection under general anesthesia.

Related Experiment Videos

  • Outcomes were assessed using symptom scores, Visick grading, and urodynamic studies over a mean follow-up of 6 years.

    • Main Results:

    • The overall satisfactory outcome rate was low at 16%.
    • Symptomatic relief was transient, lasting a mean of 17 weeks.
    • No significant urodynamic improvements were observed; bladder instability persisted in 93% of patients post-procedure.

    Conclusions:

    • Endoscopic bladder transection provides only temporary symptomatic relief in a small subset of patients.
    • The procedure is associated with complications such as infection and urethral stricture.
    • The continued role of endoscopic bladder transection is not supported by these findings.