RESUMO
Objective: To evaluate a new method of bladder neck resection and to determine; whether or not antegrade ejaculation can be preserved. Patients and Methods Twenty patients with bladder neck obstruction were treated by bladder neck resection with preservation of more than 1 cm proximal to the verumontanum. The patients were evaluated before and after resection by semen volume; sperm count symptom improvement and urodynamic evaluation. Results With this technique preserving 1 cm of the supramontanal part; we could preserve antegrade ejaculation in 17 out of 20 patients (85); while in two patients only a small amount of semen was ejaculated and in one patient; complete retrograde ejaculation was reported. Conclusion The complication of retrograde ejaculation in young patients who are in need of fertililty may be avoided by preservation of 1 cm of the supramontanal part during bladder neck resection