What is Bladder Neck Contracture?
Bladder Neck Contracture is a rarefied pathological condition of the genitourinary system of rules which come about in males after they have undergone a prostate surgery . There are various surgical procedures perform for conditions of the prostate like benign prostatic hyperplasia in which the prostate gland gets enlarged . To treat this condition , surgeons deal this condition by removing a part of the prostate gland gland .
Bladder Neck Contracture is something that is unremarkably formed post - procedure at the junction of the bladder outlet and the prostate gland gland . The prostate gland secretor is located between the bladder and the urethra . In lawsuit where an individual is hurt from prostate gland cancer then the prostate needs to be removed completely . In such cases , the bladder cervix is directly connect to the urethra .
Sometimes , there is scar tissue geological formation at the colligation of the bladder neck opening and the urethra resulting in the narrowing of the tract and stimulate Bladder Neck Contracture . The symptoms of Bladder Neck Contracture unremarkably start to seem within 5 - 6 months after a prostate surgery . There will be a gradual diminution in the urinary outturn . This may sound normal first but over prison term the individual may not be able-bodied to urinate .
In some cases , an individual may have urinary incontinence when the vesica becomes too full . Some of the other symptom of Bladder Neck Contracture are straining to urinate , urine flow being very slow , no urine output in some case and a whizz of incomplete voidance of the bladder due to Bladder Neck Contracture . It quite uncommon but sometimes kidney or bladder damage has been reported to be because of Bladder Neck Contracture .
What Causes Bladder Neck Contracture?
The exact cause of Bladder Neck Contracture is not yet known but some studies suggest that the gaps that are left behind after a prostate surgery or after creation of inosculation when the bladder neck is connected to the urethra flat is the cause for growing of Bladder Neck Contracture .
In cases of prostate cancer , when the prostate gland is whole get rid of there may be hematoma shaping beneath the sutures make the sutures to stretch or break which may ensue in organisation of gap which are then filled by scar tissue result in Bladder Neck Contracture .
Another possible cause for Bladder Neck Contracture is poor blood supply to the inosculation that is make after removal of prostate . Some of the sutures are too mean and tend to cut off the blood vessel near the inosculation resulting in poor blood supplying to the inosculation causing Bladder Neck Contracture . If an mortal who has a chronicle of diabetes and fondness disease undergoes a prostate gland surgery then the probability are more of him developing Bladder Neck Contracture .
What are the Symptoms of Bladder Neck Contracture?
As stated above , some of the symptoms of Bladder Neck Contracture are slow urinary stream , gradual decline in urinary output with ultimately no urine output if there is complete obstructor , sensation of not completely empty the bladder , and in some casesurinary incontinency .
How is Bladder Neck Contracture Diagnosed?
There are several run available to confirm the diagnosis of Bladder Neck Contracture . To begin with the physician will take a history of the patient role inquire as to whether there is a story of prior prostate problems and/or surgery . If the story of the patient point towards Bladder Neck Contracture then the physician may perform a cystoscopy in which a tenuous tube is inserted through the urethra into the vesica to look at the home complex body part .
The bladder is fill with uninventive water so as to expand the vesica for a serious view . This test will clearly show scar tissue paper shaping within the bladder neck and confirm the diagnosis of Bladder Neck Contracture . Additionally , a cystourethrogram may be perform which utilizes x - ray .
In this work , a catheter is inserted through the urethra into the bladder . A contrast material is introduced into the vesica and x - ray study are taken . This field of study will also show the presence of scar tissue formation near the bladder neck confirming the diagnosis of Bladder Neck Contracture .
How is Bladder Neck Contracture Treated?
There are various treatment pick useable for discussion of Bladder Neck Contracture . dilatation is one of the preferred approaches to treat Bladder Neck Contracture . It is a nonsurgical procedure in which tubes of increasing diameter are insert through the urethra to broaden up the opening to allow a catheter to be inserted to debilitate urine from the vesica .
A surgical function called transurethral incision is also one of the opt treatments for Bladder Neck Contracture . In this procedure a resectoscope is introduced into the bladder from the urethra to visualize the vesica neck . Then a few incisions are made in the bladder neck to permit the cicatrice to loosen and open up thus treat Bladder Neck Contracture .
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