BNI (Bladder Neck Incision)
Bladder Neck IncisionWhat is BNI (Bladder Neck Incision)?Read more...
EndopyelotomyWhat is Endopyelotomy?Read more...
Endoscopic SurgeryWhat is Endoscopic Surgery?Read more...
Radical NephrectomyWhat is Radical Nephrectomy?Read more...
Radical ProstatectomyWhat is Radical Prostatectomy?Read more...
TURPWhat is Transurethral resection of the prostate (TURP)?Read more...
BNI - Bladder Neck Incision
Bladder neck incision is a cut made in the neck of the bladder and extended into the prostate. It is also called a transurethral incision of prostate. A bladder neck incision is a surgical procedure performed on a male to widen the upper part of the bladder located next to the prostrate. The bladder neck may become narrow as the prostrate enlarges or if scar tissue has formed after prostrate surgery. A condition called primary bladder neck obstruction (PBNO) may cause an inability to urinate properly, necessitating a bladder neck incision operation.
Bladder Neck Incision is commonly known as BNI. This operation is done to improve the flow of urine. It also reduces the urinary pressure in the bladder. Bladder Neck Incision is done for free flow of urine, to remove stones from kidney and to cure serious urine infection.
This bladder surgery is performed using an endoscopic surgical instrument. Images from the camera on the endoscope enable the surgeon to visualize the bladder neck during the operation. A long thin flexible endoscope is inserted into the urethra of the penis through the small opening at the tip of the organ. The endoscope is slowly moved forward through the urethra until the neck of the bladder is reached. Once the bladder located, the surgeon will make a cut in the neck of the bladder that will allow the free passage of urine.
I can’t imagine the direction of the wind, but I can adjust my sails to alway search my destination.
When it’s dark enough, you can see the stars.
Once you choose hope, anything’s possible. Hope never abandons you, you abandon it.
The most beautiful people we have known are those who have known defeat, known suffering, known struggle, known loss, and have found their way out of the depths. These persons have an appreciation, a sensitivity, and an understanding of life that fills them with compassion, gentleness, and a deep loving concern. Beautiful people do not just happen.
Dear GOD, if today I lose my hope please remind me that your plans are better than my Dream.....
After the BNI operation, the patient will have a catheter inserted into the penis to irrigate the bladder. When the bladder has stopped bleeding, the catheter will be removed. Nursing staff will observe the patient until he is able to pass urine successfully, and then he will be discharged.
The incision site in the bladder neck will take from six to twelve weeks to heal. An antibiotic, stool softener, and a medication used to numb the urinary tract will be prescribed for about ten days to two weeks after the procedure. Some doctors recommend taking an anticoagulant or an aspirin daily to reduce the risk of blood clots causing a heart attack or stroke during the healing period.
Sexual side effects are common after a bladder neck incision. Frequently, a condition called retrograde ejaculation will develop. This causes the sperm to leak into the bladder, causing an inability to ejaculate fluid during orgasm. A man may also have difficulty achieving and maintaining an erection. Infertility caused by the lack of ejaculate after the bladder neck incision, can be addressed by storing sperm cryogenically before the operation.
Symptoms before Bladder Neck Incision
If you have narrowing of the bladder neck at the level of the prostate, but this is not mainly due to an enlarged prostate, then you should benefit from a bladder neck incision if you have symptoms of obstruction. Urologists call this bladder outflow obstruction. It is not serious but can cause problems with urination. You may:
Not everyone needs an operation but it is usually recommended if:
Following the operation you should have:
How is Bladder Neck Obstruction Treated?
Treatment options vary depending on the cause of obstruction and the overall health of the patient. Here is an overview:
Medication - Alpha-blocker drug therapy can help to relax the bladder muscles. In many cases, self-catheterization may also be required. Success rates with this type of treatment can vary. However, alpha-blockers, with or without self-catheterization, are usually the first step for treating obstruction.
Surgery - If drug therapy does not help, you may need surgery. The procedure often involves an incision in your bladder neck. This relieves the pressure from the obstruction. This method is highly effective in eliminating uncomfortable symptoms. It usually does not eliminate the source of the obstruction. Although usually benign, the cause of the obstruction may require additional treatment.
If an incision does not relieve your symptoms, or if the bladder neck obstruction is severe, open surgery may be required to reconnect your bladder neck to your urethra.
Home Care - Self-catheterization may be necessary. This depends on the condition of your bladder muscles during, and following, other treatments. Catheterization may be temporary or ongoing. The technique often requires adjustment. It is important that your catheters are sanitized and inserted properly.
"Happiness is not something ready made. It comes from your own actions".
"The purpose of our lives is to be happy" - Dalai Lama