[The functional obstruction of bladder neck (author's transl)]

Area of Science:

• Urology
• Male lower urinary tract symptoms

Context:

• Functional bladder neck obstruction is a recognized condition in males.
• Its etiology, natural history, and precise mechanisms remain incompletely understood.
• Patients typically present with obstructive symptoms originating in childhood.

Purpose:

• To present the diagnostic and therapeutic outcomes for 10 male patients with functional bladder neck obstruction.
• To evaluate the efficacy and safety of diathermic incision of the bladder neck.
• To emphasize the importance of specific diagnostic assessments.

Summary:

• A cohort of 10 male patients underwent comprehensive radiological, urological, and urodynamic evaluations.
• Diathermic incision of the bladder neck was employed as the primary therapeutic intervention.
• Post-treatment follow-up revealed no instances of retrograde ejaculation, and the overall prognosis was favorable.

Impact:

• Highlights diathermic incision as a safe and effective treatment for male bladder neck obstruction.
• Underscores the necessity of uroflowmetry, cystometry, and micturating cysto-urethrography for accurate diagnosis.
• Contributes to a better understanding of the management and outcomes of this condition.