Bladder Neckcontracture Following Turp – Personal Experience
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2014, Vol 9, Issue 2
Abstract
Objective: To understand the incidence, clinical presentation, treatment options of bladder neck contracture after transurethral resection of prostate. Material and Methods: Medical data of 198 patients, who underwent transurethral resection of prostate from January 2008 to May 2009, were analyses. Data of patients with bladder neck contracture following TURP were further scrutinized. Exclusion criteria were urethral strictures, prostate cancer, patients with history of previous transurethral resection of prostate, prior instrumentation, bladder neck incision. Results: Of the 198 who underwent TURP bladder neck contracture was observed in 12 patients. Mild, moderate, severe (diaphragm type) contracture was observed in 3, 6, 3 patients respectively. Treatment included dilatation in 3(mild contracture), incision in 6(moderate contracture) incision and hot loop electro resection in 3(severe contracture) patients. The 3 patients who were treated initially by urethral dilatation had symptom recurrence in 4 weeks and were subsequently dealt by bladder neck incision. Of the 6 patient streated by bladder neck incision, 3 were symptom free after a single session,1 needed a further bladder neck incision for cure and 2 required bladder neck incisions twice for cure. Of the 3 patients with severe(diaphragm type)contracture 1was symptom free after a single session but 2 became symptomatic within three months and required incision on two occasions. Conclusion: Bladder neck stenosis after transurethral prostate surgery is diagnosed either by symptoms or urethrocystoscopy. The incidence of recurrence after bladder neck dilatation is100%even in mild type of bladder neck contracture. The best results for treatment of the contracture are obtained after bladder neck incision, which gives an incidence of recurrence only up to 50% after a single session.
Authors and Affiliations
RahimanMujeebM , Manasa T , Bharath S. V
Keywords
Related Articles
- EP ID EP104966
- DOI -
- Views 122
- Downloads 0
An Evaluation and Comparison of Composition and Surface Characteristics of Different Orthodontic Wires – Energy Dispersing Spectrometry and SEM Study
Aim: To evaluate and to understand the composition and surface characteristics of different orthodontic wires. Materials and method: Six different orthodontic wires 1) stainless steel wires, 2)TMA wires 3) low friction T...
Changing histological pattern of lung malignancy in India
Previously Squamous cell carcinoma was more common in males and in smokers in india but, the incidence of Adenocarcinoma has increased significantly in last 2 decades. Adenocarcinoma is now the most common form of lung c...
Study of Effect of Haemoglobin and Body Weight on Vo2 Max in Young Males and Females
Samples of 27 females and 22 males of age group 18-25 years were studied for evaluating relationship between obesity and Hemoglobin with cardiorespiratory fitness. Cardiorespiratory fitness was measured in terms of vo2 m...
Monitoring and statistical analysis of ambient air quality status at industrial sites of Aurangabad (Maharashtra) India
Air pollution due to anthropogenic sources, is a matter of concern in whole world. India experienced rapid industrial growth. In every city, the levels are getting worse because of raid industralization, growing number o...
Incidence and identification of dermatophytes associated with patients of Tinea corporis in a tertiary care hospital
Background: Dermatophytosis is the most important group of superficial fungal infections caused by dermatophytes. Tinea corporis is ringworm of glabrous skin (non hairy skin) of body. The identification of the causative...