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2.1
Bladder Neck Obstruction
Obstruction Urinary Bladder

Presentation

Six of 7 patients presented with symptoms of obstruction, including a weak or intermittent stream and urinary hesitancy. [ncbi.nlm.nih.gov]

Entire Body System

  • Recurrent Urinary Tract Infection

    RESULTS: Of the 11 patients, 5 had chronic urinary retention and 6 had difficult micturition; 3 also had recurrent urinary tract infection or upper urinary tract deterioration. [ncbi.nlm.nih.gov]

    urinary tract infections following hypospadias repair at the age of 3 years. [indianjurol.com]

  • Turkish

    History Meanings of "bladder neck obstruction" in Turkish English Dictionary : 1 result(s) Category English Turkish Pathology 1 Pathology bladder neck obstruction mesane boynu obstrüksiyonu Pronunciation of bladder neck obstruction Term Options [tureng.com]

Gastrointestinal

  • Abdominal Pain

    Myocardial Infarction Opiates and Abdominal Pain Osteoporosis Otitis Media, Child Paracentesis Parkinsonism Penicillin Allergy Peripheral Arterial Disease Pertussis, Adult or Adolescent Pleural Effusion Pleural Effusion, Thoracentesis Pneumonia, Adult [jamaevidence.mhmedical.com]

    Patients with an undiagnosed ureteropelvic junction obstruction may experience abdominal or flank pain after increased fluid intake, when their bladder is full or when they exercise. [en.wikipedia.org]

    pain Continuous feeling of a full bladder Frequent urination Pain during urination ( dysuria ) Problems starting urination (urinary hesitancy) Slow, uneven urine flow, at times being unable to urinate Straining to urinate Urinary tract infection Waking [medlineplus.gov]

    Most patients present with nonspecific symptoms, including dull abdominal pain, of less than 12 months' duration but patients can present with the complications of the fibrosis. [patient.info]

  • Suprapubic Pain

    Usually severe suprapubic pain (but not if superimposed on chronic retention or underlying neuropathy). Look for evidence of a distended bladder - eg, abdominal distention, suprapubic dullness on percussion. [patient.info]

Psychiatrical

  • Suggestibility

    Our experience with the urodynamic studies in 15 patients suggests that isolated bladder neck obstruction is a real entity in young adult males. [ncbi.nlm.nih.gov]

  • Impulsivity

    Virtual Touch tissue quantification on acoustic radiation force impulse imaging can quantitatively reflect the bladder neck stiffness and change in texture. [ncbi.nlm.nih.gov]

    […] obstruction: Description of a novel surgical procedure. ( 27037830 ) Shen W....Zhou Z. 2016 6 Primary bladder neck obstruction may be determined by postural imbalances. ( 27876119 ) Camerota T.C....Sforza C. 2016 7 Application of Acoustic Radiation Force Impulse [malacards.org]

Neurologic

  • Neck Stiffness

    Virtual Touch tissue quantification on acoustic radiation force impulse imaging can quantitatively reflect the bladder neck stiffness and change in texture. [ncbi.nlm.nih.gov]

Urogenital

  • Urinary Incontinence

    QoL, quality of life; Q max, maximum flow rate; UI, urinary incontinence; UTIs, urinary tract infections; VUR, vesicoureteral reflux. [journal.frontiersin.org]

    CONCLUSION: The modified transurethral bladder neck incision is effective in the long term in relieving voiding difficulties owing to primary bladder neck obstruction in women without urinary incontinence. Copyright © 2012 Elsevier Inc. [ncbi.nlm.nih.gov]

    Tension-free vaginal tape for the treatment of stress urinary incontinence. Clin Obstet Gynecol 2000; 43: 670-675. 24) Mansoor A, Védrine N, Darcq C. [minds.jcqhc.or.jp]

    Some common ones are Cystitis - inflammation of the bladder, often from an infection Urinary incontinence - loss of bladder control Overactive bladder - a condition in which the bladder squeezes urine out at the wrong time Interstitial cystitis - a chronic [icdlist.com]

    The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol. ‎ Página 228 - Abrams P, Blaivas JG, Stanton SL, Andersen JT. The standardisation of terminology of lower urinary tract function. ‎ [books.google.es]

  • Urinary Retention

    RESULTS: Of the 11 patients, 5 had chronic urinary retention and 6 had difficult micturition; 3 also had recurrent urinary tract infection or upper urinary tract deterioration. [ncbi.nlm.nih.gov]

    […] catheters (Medical Encyclopedia) Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases) [ Read More ] Urethral Disorders The urethra is the tube that allows urine to pass out of the body. [icdlist.com]

  • Pelvic Pain

    High Prevalence of Bladder Neck Obstruction Suggested in Patients with Chronic Pelvic Pain and Small Fiber Polyneuropathy Video coming soon! 1. Albany Medical College, 2. [ics.org]

    The signs and symptoms of bladder outlet obstruction may include intermittent urine stream, delayed urine stream, incomplete bladder emptying, incontinence, increased urgency and frequency of urination, and pelvic pain (this symptom is more common in [samadimd.com]

    Common symptoms can be irregular urination, incomplete bladder emptying, inability to control urination and pelvic pain. The success rate of bladder neck incision is about 60 percent. [tourmyindia.com]

    These symptoms include: Irregular output of urine Incomplete emptying of the bladder Increased urinary frequency Increase in urinary urgency Inability to control one’s need to urinate Pelvic pain—seen more often in men than women What causes bladder neck [belmarrahealth.com]

    pain, which is more common in men than in women An enlarged prostate is often responsible for causing bladder neck obstruction. [healthline.com]

  • Dysuria

    We present the cases of two women complaining dysuria, abdominal straining and sensation of incomplete bladder emptying. Videourodynamic evaluation was fundamental for a correct diagnosis. [ncbi.nlm.nih.gov]

    The symptoms usually present are hematospermia or dysuria. [omicsonline.org]

    Similarly, infection of the genitalia, bladder ( cystitis ) or of the prostate (prostatitis) may cause the symptoms mentioned above, along with pain on passing urine (dysuria) and a dull ache either in the scrotum, above the pubic bone (pubic symphysis [netdoctor.co.uk]

    […] the bladder falls into the vagina) Foreign objects Urethral or pelvic muscle spasms Inguinal (groin) hernia The symptoms of BOO may vary, but can include: Abdominal pain Continuous feeling of a full bladder Frequent urination Pain during urination ( dysuria [medlineplus.gov]

  • Incomplete Bladder Emptying

    We present the cases of two women complaining dysuria, abdominal straining and sensation of incomplete bladder emptying. Videourodynamic evaluation was fundamental for a correct diagnosis. [ncbi.nlm.nih.gov]

    The signs and symptoms of bladder outlet obstruction may include intermittent urine stream, delayed urine stream, incomplete bladder emptying, incontinence, increased urgency and frequency of urination, and pelvic pain (this symptom is more common in [samadimd.com]

    Common symptoms can be irregular urination, incomplete bladder emptying, inability to control urination and pelvic pain. The success rate of bladder neck incision is about 60 percent. [tourmyindia.com]

    The narrowing caused by a bladder neck stenosis or a urethral stricture can cause bladder obstruction that leads to incomplete bladder emptying. [urobop.co.nz]

    Men and women who have bladder neck obstruction experience similar symptoms, which often include the following: an irregular output of urine incomplete bladder emptying increased urinary frequency increased urinary urgency an inability to control the [healthline.com]

Workup

Cystoscopy

  • Bladder Trabeculation

    Asymptomatic non-prostatic hypertrophy, no matter how large the adenoma, is considered to be a pre-clinical phase of the disease as long as bladder trabeculation, impairment of the flow rate and residual urine are absent. [ncbi.nlm.nih.gov]

    All the diagnostic criteria are reviewed: post-micturition residual, bladder trabeculations and diverticulum, endoscopic aspect of the neck, during micturating cystourethrogram and transvesical operation, pathology of the bladder-neck. [karger.com]

Treatment

The efficacy of doxazosin was maintained over the 12-month treatment period. [ncbi.nlm.nih.gov]

Prognosis

Treatment and prognosis The goal of treatment is to relieve the obstruction and prevent urinary tract infections and renal compromise. [radiopaedia.org]

The earlier treatment occurs the better the prognosis can be. [belmarrahealth.com]

Ultrasound evaluation of prognosis in fetuses with posterior urethral valves. J. Pediatr. Surg. 46, 1412–1418 (2011). 17. Johnson, M. P. et al. [nature.com]

The Fetal Center offers extensive counseling to patients about the diagnostic findings and treatment options, as well as a birth plan and the baby’s long-term prognosis. [cincinnatichildrens.org]

While you are still pregnant, we will help you arrange consultations with a neonatologist, pediatric urologist and pediatric nephrologist who will discuss the treatment needs and prognosis of your baby after he/she is born. [fetaltonewborn.org]

Etiology

It was first identified 70 years ago, but the etiology is still unclear. There are multiple theories as to the etiology, including muscular and neurological dysfunction and fibrosis. [ncbi.nlm.nih.gov]

Epidemiology

We provide invaluable learning opportunities for attending medical students and research opportunities in biomedical, clinical and epidemiological research across all disciplines. [sydney.edu.au]

Congenital lower urinary tract obstruction: a population-based epidemiological study. BJOG 119, 1455–1464 (2012). 7. Knox, W. F. & Barson, A. J. Pulmonary hypoplasia in a regional perinatal unit. Early Hum. Dev. 14, 33–42 (1986). 8. Liao, A. [nature.com]

Epidemiology Age Urinary tract obstruction occurs most commonly in the young and the old: In older men, this is a relatively common condition due to prostatic enlargement: Incidence of lower urinary tract symptoms (LUTs)/BPH averages 15 per 1,000 man-years [patient.info]

Ejaculatory disorders: epidemiology and current approaches to definition, classification and subtyping. World J Urol (2005) 23(2):68–75. doi:10.1007/s00345-004-0486-9 PubMed Abstract | CrossRef Full Text | Google Scholar 17. [journal.frontiersin.org]

Etiology, epidemiology, and natural history of benign prostatic hyperplasia. Urol Clin North Am. 2009;36: 403–415, v. pmid:19942041 View Article PubMed/NCBI Google Scholar 4. Ezz el Din K, Kiemeney LA, de Wildt MJ, Debruyne FM, de la Rosette JJ. [journals.plos.org]

Pathophysiology

A rather uniform radiographic appearance of the bladder neck was associated with different urodynamic patterns, suggesting that various pathophysiological mechanisms may be involved. [ncbi.nlm.nih.gov]

A thorough evaluation to determine the exact anatomy and pathophysiology allows the surgeon to individualize the treatment appropriately. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest. 1. [indianjurol.com]

Recently, the pathophysiology of male LUTS has been regarded as being highly complex and multifactorial [ 2 ]. [journals.plos.org]

Prevention

However, in a few patients the bladder neck may be completely obstructed preventing retrograde access into the bladder. [ncbi.nlm.nih.gov]

During ejaculation the bladder neck closes tightly to prevent semen from flowing back and to assist in the throw of semen. How do you evaluate patient with Bladder neck symptoms. [urologyrbh.blogspot.com]

Urethral stenosis is a narrowing of the urethra that prevents urine from exiting the bladder. [en.wikipedia.org]

Prompt treatment will relieve your symptoms and prevent complications from developing. [healthline.com]

Treatment and prognosis The goal of treatment is to relieve the obstruction and prevent urinary tract infections and renal compromise. [radiopaedia.org]

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