Doctor insights on:
Bladder Neck Obstruction In Men
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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
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
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
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
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
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
Bladder: Yes, and you should be monitored by a Urologist. ...Read more
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
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
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
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
I have OAB and tight bladder neck will I likely have bladder issues when I'm older in terms functionality?
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
One week: Maybe two weeks.Get a more detailed answer ›
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
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
Can periodic catheter insertion for few minutes n dr office dilate urethra or bladder neck slightly for period of time? Only effective med too costly
YES: Yes you will need that procedure to help urinary flow. If you can not afford medication write to the company, most of them have special plans to help the people who can not afford them. Speak to your doctor. ...Read more
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
I have had tests and my bladder senses urine too much Nd bladder neck out of sync vesicare 5mg not stop cnstnt urge urinate?
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
I have bladder neck inflammation thought to cause my urinary issues. What causes this in 30 year old male? And how curable is it? Surgery?
Not: Sure if you mean infection which is curable with antibiotics ...Read more
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
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
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
Can right bladder neck cause - pressure in bladder, feeling of holding urine back constant, sometimes sore. Double voiding lot. Bladder empties tho?
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
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
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?
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
How long does it take to recover from inflammation bladder neck? Taking flomax (tamsulosin) 2 weeks, no real improve keep pee sometimes in short space time.
2 more weeks: Give it two more weeks if it is tolerable and you can make it that long ...Read more
Is it possible after 5weeks flomax (tamsulosin) my tight bladder neck symptoms still there I won't respond and need surgery? Or it be something else causing?
Yes and no: Flomax is one of the three specific alpha blockers available. So if one does not work, there are two more one can try: Rapaflo (silodosin) and Uroxatrol. ...Read more
Had cystoscope said bladder neck red, what causes this? Have flomax (tamsulosin) for a week so far. No improvement, pee more. When will it work?
Red=inflammation: Red color of the skin and mucosa (lining of hollow organs like the bladder) is a sign of inflammation which in the bladder may be caused by urinary tract infection or irritation by urinary stones etc. Flomax (tamsulosin) is only used to improve urination in men with bladder outlet obstruction and seems to be working for you since you are peeing more. Follow up with your dr or a urologist ...Read more
Could solely raised bladder neck cause - frequent urination/feeling never empty, pressure, knot feel? Flomax (tamsulosin) not helping or other meds.
The question is not clear? By raised bladder neck you
mean bladder neck contracture (obsruction), the answer is YES! You are relatively young for having this problem. Yes, it causes everything you descibe.
Flomax which relaxes the snug bladder neck invariably help, but in your case, at your age, PLEASE
see a urologist. Best of luck ...Read more
Urologist says now train my bladder hold more. Could this expand bladder neck or just help me cope? Said for age no surgery recommend for tight bladde
Here are some...: Of course, any surgery on any organ is the last resort of care after failing to conservative Rx-behavioral modification, lifestyle, and judicious use of drugs. And the content of your Q brings insufficient info to reach right Dx for right Rx. To do things right, following instructions in http://www. Formefirst. Com/eNewsletter06.html would help you on how and when to work closely with Doc.... ...Read more
With flomax (tamsulosin) im now going for pee and stay there for 10min forcing drips out and end. Sit down still feel full and force again. Have tight bladder neck?
No: Sounds like you may need to have a cystosopy done ...Read more
Not related...: Dyssynergia between urinary sphincter & detrusor is the incoordinating matter of nerve-muscle response, which can be demonstrated by the combined cystometrogram & electromyography of urinary sphincter. Please ask your existing urologist who know more about your individual situation than anyone online. In fact, more online aimless inquiry will surely generate more unwanted confusion, anxiety, & fear ...Read more
Can overactive bladder cause me to strain to get urine out? I'm on medication for it. Or will it be the tight bladder neck?
Straining: Bladder outlet obstruction is the most common cause of difficulty initiating the urinary stream, while overactive bladder usually causes urinary frequency in small amounts. Medications like Sudafed can cause difficulty urinating as can certain neurologic disorders affecting the bladder. A urologist is best qualified to advise you. ...Read more
I have tight bladder neck stop start urinating, feeling pee all time, and split stream sometimes and sometimes small line of pee. All caused by this?
Yes, ...: All of your urinary symptoms could be related with tight bladder neck. Despite knowing so much about this subject nowadays, still keep professionally humble in accepting: Behind what we know does still hide a lot of what we don't know. So, the effort to work with doctor & exercising due diligence and vigilance in evaluation & treatment adjustment is still key in managing intractable urinary Sx... ...Read more
Got tight bladder neck, urge pee all time no pain. Test neg. Urge 10x worse when sat on toilet and bowel move. Is this also symptom? What else could b
Urologist: This is a case for a urologist. Medications like flomax (tamsulosin) are helpful in bladder neck problems. Urethral abnormalities, overactive bladder problems, prostate dysfunction all are possibilities here. I'm not sure what tests have been done, but a urologist is best qualified to evaluate and advise you about diagnosis and treatment. ...Read more
Yes indeed: Internal pelvic pain, originating in the bladder, prostate, etc is a kind of "visceral" pain -- the same kind that occurs with intestinal or other problems inside the abdomen. Such pain is always quite diffuse and can be perceived in places quite far from the origin. Also, pain can radiate to areas served by the same nerves. Prostate or bladder pain often radiates to the testicles. ...Read more
Anything that creates a blockage of the intestinal tract. You may think of the intestinal tract (stomach, small bowel, large bowel) as somewhat akin to a garden hose. If you kink the garden hose, or twist it, or block it inside, you have created an "obstruction". Most obstructions are a results of previous surgery and most of these ...Read more