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[Endoscopic cervicotomy: elective treatment in bladder neck sclerosis]

F Martín-Laborda y Bergasa1, J Vallejo Herrador, P L Sánchez de la Muela Naverac

  • 1Servicio de Urología, Hospital Universitario del Aire, Madrid, España.

Archivos Espanoles De Urologia
|January 1, 1995
PubMed
Summary

Two-incision endoscopic cervicotomy (TC) is more effective for treating bladder neck sclerosis than perimetric resection of the sclerotic ring (TR). TC showed no recurrence, while TR had a 36% recurrence rate, making it less reliable.

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Area of Science:

  • Urology
  • Endourology

Background:

  • Bladder neck sclerosis can cause significant lower urinary tract symptoms.
  • Surgical interventions aim to relieve obstruction and improve voiding function.

Purpose of the Study:

  • To compare the efficacy of perimetric resection of the sclerotic ring (TR) and two-incision endoscopic cervicotomy (TC) for treating bladder neck sclerosis.

Main Methods:

  • Fourteen patients underwent perimetric TR using a resectoscope.
  • Eleven patients underwent two-incision endoscopic cervicotomy (TC) with a Collins blade, sometimes preceded by a urethrotome.

Main Results:

  • Perimetric TR resulted in a 36% recurrence rate (5 out of 14 cases).
  • Two-incision TC showed no recurrence in 11 treated patients.

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  • Dysuria was a common symptom, confirmed by flowmetry.

    • Conclusions:

    • Two-incision endoscopic cervicotomy (TC) is a more reliable treatment for bladder neck sclerosis.
    • Perimetric resection of the sclerotic ring (TR) is not recommended due to its high recurrence rate.
    • Endoscopic confirmation and treatment under anesthesia are advised for optimal management.