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Bladder-neck incision

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    Bladder-neck incision is a procedure where small cuts are made into the neck of your bladder to make it easier for you to pass urine, and with a better stream.

    Learn more about bladder-neck incision at King Edward VII’s Hospital

    Why would I need a bladder-neck incision?

    As you age, your prostate gets larger. If it tightens around your urethra, it can interrupt the flow of urine from your bladder.

    What symptoms does a bladder-neck incision address?

    A bladder-neck incision should make it easier for you to pass urine and reduce the need to pass urine as often during the night.

    When should you speak to your specialist about a bladder-neck incision?

    If you have having difficulty passing urine or feel that you need to go very frequently, you might want to consider speaking to your specialist about the possibility of undergoing a bladder-neck incision.

    How is a bladder-neck incision performed?

    A bladder-neck incision can be carried out under a spinal or general anaesthetic and it usually takes an hour.

    During the procedure, your surgeon will place a resectoscope (a small operating telescope) into your urethra. They will then make small cuts in the neck of your bladder to relieve the pressure.

    What is the recovery for a bladder-neck incision?

    The recovery from a bladder-neck incision can depend on a variety of factors, and you should discuss this with your surgeon.

    You will likely need to take a week off of work after your procedure.

    You and your surgeon will discuss your plan for recovery prior to your bladder-neck incision.

    Are there any risks/complications associated with a bladder-neck incision?

    As with any medical procedure, it is possible for risks or complications to arise. It is best that you speak with your specialist or surgeon about how best to avoid any adverse reactions.

    Some complications that have been associated with the procedure are:

    • Impotence
    • Difficulty passing urine
    • Incontinence
    • Need to pass urine more often and sudden urges to pass urine
    • Reduction in fertility
    • Narrowing of your urethra

    How can I prepare for a bladder-neck incision?

    Prior to your bladder-neck incision, you should discuss the preparations you should make with your surgeon, as they can vary depending on the person.

    Are there alternatives for a bladder-neck incision?

    For most men, an operation is not essential. There are medications available to treat the condition, but this is rarely a permanent solution.

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