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Doctor insights on: Bladder Neck Contracture

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Is there a way to solve male (31yo) bladder neck dyssynergia without cutting the sphincter?

Is there a way to solve male (31yo) bladder neck dyssynergia without cutting the sphincter?

See Urologist: If you are asking about inability to empty bladder completely or have incontinence, than you should see a urologist who can test your bladder's functiong. And decide on the correct treatment. ...Read more

Bladder (Definition)

The bladder is a muscular organ in the pelvis that accepts urine from the kidneys, stores the urine at low pressure, & expels the urine during voluntary voiding. Though seemingly a simple reservoir, the bladder is a complex organ intricately connected with the brain and spinal cord with sensory, motor, and autonomic circuits. The muscular layer that contracts during voids ...Read more


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Post prostate cancer surgery problem bladder neck contracture. Please help me with this?

Post prostate cancer surgery problem bladder neck contracture. Please help me with this?

Depends: Mild BNC urethral dilation. More significant BNC:cystoscopy & making a cut in the scar tissue. Severe BNC:Simultaneous telescope through urethra & through tiny incision above pubic bone & laser incision is done to minimize tissue trauma. Hope you have a minor BNC. Good luck ...Read more

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Can tight bladder neck be cured 100%?

Can tight bladder neck be cured 100%?

Here are some...: Medical professionals have never cure anything, but help modify our internal and external environments by practicing healthy lifestyle without overindulgence and obsession with or without use of drugs or procedures so to allow our body to undergo self-healing for optimal functional recovery with our own residual strength. So, it can be managed but not cured. More? Ask Doc timely. ...Read more

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What is a bladder neck incision, and what is the recovery time?

What is a bladder neck incision, and what is the recovery time?

TUIBN: Transurethral incision of the bladder neck is an outpatient surgical procedure that opens up bladder neck for urine to flow more freely. Usually there is no overnight stay in the hospital, if uncomplicated. Sometimes a urinary catheter is left in place for a day or so, depending on the clinical situation. Bladder irritability can occur for a few days. Consult a urologist for details. ...Read more

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When I was overseas they told me I needed a bladder neck incision? What's is it, ? What do they do? What is the recovery time, ? Does it require staying in

When I was overseas they told me I needed a bladder neck incision? What's is it, ? What do they do? What is the recovery time, ? Does it require staying in

See below: Am surprised you need TUBNI at age 42.It is done for bl. Neck contracture (causes include:trans-ureth. Resection of prost, simple open prostatectomy, radical prost, radioactive seed implant).These procedures are rarely ever done at 42.You are place in stirrups & a scope inserted in urethra & bl. Neck incised or resected in circleYou will have regional or gen. Ansi. Get 2nd. Opinion fr. Urologist here ...Read more

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Define transurethral resection of bladder neck?

Define transurethral resection of bladder neck?

Bladder neck incisio: Transurethral resection of the bladder neck (TURBN) should be a bladder neck incision in most all cases. It is often indicated for patients for symptoms of BPH with a small prostate gland. If a formal resection is done bladder neck scarring may occur. Sometimes TURBN is done for bladder neck contractures and should be best performed as an incision. ...Read more

Dr. James Lin Dr. Lin
2 doctors agreed:
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What is a raised bladder neck? I'm told I have it? Does it mean it's tight

Dr. James Lin Dr. Lin
2 doctors agreed:
What is a raised bladder neck? I'm told I have it? Does it mean it's tight

Here are some...: "raised" or "high-and-tight" bladder neck has been used to denote what and how the immediate bladder opening (outlet) - bladder neck, looks like visually in the eyes of urologists who perform cystourethroscopy, but relatively subjective. Yet such accumulated experience strongly correlates well with men with hesitancy and poor urine flow. So, if alpha-blocker fails to work, consider... ...Read more

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Can bladder neck scleroris cause early ejaculation? How curable is this symptom?

Can bladder neck scleroris cause early ejaculation? How curable is this symptom?

Here are some...: There has been no cure for premature ejaculation but something to modify the timing of ejaculation such as better mental and physical health and relaxation, adjusting the depth and pace of vaginal penetration, judicious try with topical numbing cream and / or SSRIs. More on sex life in general? To http://www. Formefirst. Com/eBlogList. Html. Also, seek evaluation and sounseling timely. ...Read more

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Is there a way to solve male (31yo) bladder neck dyssynergia without cutting the sphincter?

See Urologist: If you are asking about inability to empty bladder completely or have incontinence, than you should see a urologist who can test your bladder's functiong. And decide on the correct treatment. ...Read more

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Tried Tamsulosin to relax bladder neck. Even if you have ret ejaculation can tablet still not work? I still have irritataion

Tried Tamsulosin to relax bladder neck. Even if you have ret ejaculation can tablet still not work? I still have irritataion

Here are some...: Has tamsulosin improved urine flow? No ejaculation indicates it works well to relax bladder neck. For irritation, one has to verify its specifics & relevance so to deduce possible potential causes for reasonable care. How to get these done correctly? Follow instructions in articles listed in http://www. Formefirst. Com/onDealSickness. Html. ...Read more

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Constantly feel urge to urinate all time. Will this be my right bladder neck or can overactive bladder also cause this?

Constantly feel urge to urinate all time. Will this be my right bladder neck or can overactive bladder also cause this?

See below...: Feeling a constant urge to urinate is an annoying problem. It can be caused by a bladder infection. If you have seen a doc several times and there is no infection but the symptoms continue, you may have something called Interstitial Cystitis. You can do a web search on this but the short version is that your bladder is constantly irritated but there is no infection. Best wishes! ...Read more

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Can OAB cause right bladder neck or other way around? I have both doc won't do BNI as too young, symptoms ruin my life!!!

Can OAB cause right bladder neck or other way around? I have both doc won't do BNI as too young, symptoms ruin my life!!!

Here are some...: Surgical intervention is always considered as the last resort of care after failed in conservative care including counseling, understanding, and accepting available truth & facts of life, implementing behavioral modification and healthy lifestyle without overindulgence, taking drug (s) judiciously, receiving physical therapy as needed, etc. So, work with and follow doc's advice. ...Read more

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Hi doc, I have been diagnosed with bladder neck obstuction after retrograde urethrogram and uroflow tests. Rgu suggested no strictures. Imfeelingpain?

Hi doc, I have been diagnosed with bladder neck obstuction after retrograde urethrogram and uroflow tests. Rgu suggested no strictures. Imfeelingpain?

Here is what I. ..: Experiencing painful voiding after diagnostic procedures through the urethra is expected, will ease, and eventually disappeared with variable pace among individuals, usually within 1-2 days, and medication such as Pyridium and Flomax (tamsulosin) may help ease it. Yet, one has to relate the visible bladder neck obstruction with its functional impact onto personal voiding. Detailing? Ask doc timely. Best wish. ...Read more

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What is the treatment for urinary bladder neck obstruction?

What is the treatment for urinary bladder neck obstruction?

Let me help: Tment options vary depending on the cause of obstruction and the overall health of the patient.
Alpha-blocker drug therapy can help to relax the bladder muscles. In many cases, self-catheterization may also be required. Success rates with this type of treatment can vary.
If drug therapy does not help, you may need surgery. ...Read more

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Can Pelvic Floor Dysfunction in Males cause a tight bladder neck? Or the other way around?

Can Pelvic Floor Dysfunction in Males cause a tight bladder neck? Or the other way around?

Chicken or egg: Unless there is another problem in addition to the urinary ones, there is no way to know. If treatment of the tight bladder neck pharmacologically improves voiding there might be an improvement in the pelvic floor dysfunction. If this occurs, one could infer that the bladder neck problem at least partially caused or exacerbated the problems with the pelvic floor. ...Read more

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What can cause raised bladder neck? I had no surgery in past and tested neg for infections.

Many: Who ever told you that you have raised bladder neck, must told you the reason for it. It is a diagnosis made by specialist, not a common talk piece with friends, prostrate problem could be one, listen to your doctors. ...Read more

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I have had tests and my bladder senses urine too much Nd bladder neck out of sync vesicare 5mg not stop cnstnt urge urinate?

I have had tests and my bladder senses urine too much Nd bladder neck out of sync vesicare 5mg not stop cnstnt urge urinate?

Treatment options: Your options include:
1. Trying a higher dose Vesicare
2. Trying a different medication for overactive bladder
3. See a urologist since this is not likely a simple case of an overactive bladder

Regardless, I encourage you to follow up with whomever prescribed this medication to ensure they are aware of this treatment failure so they further address your problem. ...Read more

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Can tight bladder neck go back to normal again if I re train my bladder to fill more? My docs say possible. Help! Or will I need surgery in end

Can tight bladder neck go back to normal again if I re train my bladder to fill more? My docs say possible. Help! Or will I need surgery in end

Here are some...: Have you had cystourethroscopy to look into the urethra and bladder so to make sure of no urethral stricture and to verify what bladder neck and bladder lining looks like after no or poor response to alpha-blocker like Flomax (tamsulosin) since urethral stricture would not respond to it? Besides, measuring the pressure inside bladder at voiding is advised if available so to assure if indeed you've functional.. ...Read more

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Constant irritation bladder feeling. Can bladder neck cause this? Doc said Botox to relax bladder neck? Tabs not work even though ret ejaculation

Constant irritation bladder feeling. Can bladder neck cause this? Doc said Botox to relax bladder neck? Tabs not work even though ret ejaculation

Maybe, but...: Please refer this Q to your potential urologist. Botox injection to bladder is to denervate the bladder hoping to ease the related pain and urgency after failing to behavioral modification + oral medications (antimuscarinic agents). It helps improve symptom but not cure since we doctors have never cured anything for anyone, but help modify something to some degree with/without drugs or procedures. ...Read more

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I have redding of bladder neck. Prescribed Flomax (tamsulosin). Now keep feeling like need to pee and go a lot per day. Is it normal? Thought was to stop

Flomax (tamsulosin): Sounds like you have straining of the muscle of the bladder neck which can be seen in BPH, benign prostatic hyperplasia, or large prostate. The premace of flomax (tamsulosin) is to relax the bladder and allow more complete voiding of urine from the bladder. This is a normal reaction of flomax (tamsulosin). ...Read more

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Is tight bladder neck classed as bladder neck obstruction? I get stop start urination and swollen feeling on and off, frequent urge etc.

Is tight bladder neck classed as bladder neck obstruction? I get stop start urination and swollen feeling on and off, frequent urge etc.

Here are some...: Tight bladder neck is used to describe what a urologist see on cystourethroscopy-like a tight rubber band ring, which is clinically related with diminishing urine flow so a term of bladder neck obstruction is coined. However, how these findings and description may be implied in urinary symptoms of every individuals should be correlated with urodynamic testing & clinical assessment. So, ask doctor. ...Read more

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Can a tight bladder neck go back to normal on med and bladder training like my doc said? Or will I have until need surgery? He said try train bladder

Can a tight bladder neck go back to normal on med and bladder training like my doc said? Or will I have until need surgery? He said try train bladder

Hormonal: Urinary/bladder problems in females is often due to a hormone problem. Get your estradiol, progesterone, LH, FSH, TSH, FT4, FT3, thyroid peroxidase and thyroglobulin Ab tested on day 21 of your cycle. Treat any abnormalities found and see if this helps over 3-6 months. ...Read more

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I had an Bladder neck incision but can't urinate so sent home with underlying Catheter for an week or 2 is this quite normal as I'm very worried now?

Okay. ..: Inability to urinate results from poor working coherence between urinary sphincter and bladder. Leaving a catheter for a while is right temporary thing to do. Most of patients after bladder neck incision will be able to void with a better urine flow than that before the procedures provided they still could void before surgery. More? Ask your urologist. Or contact www. HealthTap/com/dr-Lin. .. Best. ...Read more

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Urologist says tight bladder neck causing all my issues. On meds and he said try retrain my bladder to stop urgency. Can tight blad go normal over Time?

Urologist says tight bladder neck causing all my issues. On meds and he said try retrain my bladder to stop urgency. Can tight blad go normal over Time?

See remark: You're relatively young for "tight" bladder neck, unless you were born that way. The urologist must have seen by looking inside bladder the problem and usually we take care of it at that time. If you 've urgency, are you emptying your bladder when voiding? Ask your MD for
FLOMAX pills and trial of Vesicare (solifenacin) (antichotenergic) pills
Don't hesitate to let me know. JBR ...Read more

Dr. F. Thomas Kaplan
382 Doctors shared insights

Contracture (Definition)

Contracture = deformity caused by permanent shortening of ...Read more