Experience with bladder neck incision to relieve bladder outlet obstruction versus transurethral resection of the prostate in Shiraz

ABSTRACT

TUR is cited as the treatment of choice for relief of bladder outflow tract obstruction in the male, but bladder neck incision [BNI] is an acceptable alternative when the gland is small. Sixty cases of BNI/TUR have been reviewed [BNI=35, TUR=25] from March, 1986 to April, 1988. BNI was done when the glands were less than 30 gr, and when there was no clinical suspicion of malignancy the operative technique of our single incision is given. In BNI the catheter stay was shorter, and there was less infection, a significantly reduced need for blood transfusion, and satisfactory outcome in terms of control and need for further surgery. BNI is a technically simpler procedure than TUR and is easy to teach and learn. Our results show it is safe and effective for patients in acute retention as well as those treated electively and is the operation of choice for a small benign prostate. In larger glands BNI may not be desirable. In matched cases this method provided better results and fewer complications than the standard transurethral resection