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This operation is carried out on a man's bladder neck which has narrowed with minimal Prostate enlargement or after a prostate operation to relieve his symptoms when scarring has caused the narrowing e.g TURP.
These can be:
Slowness in starting,
poor stream,
dribbling at the end of passing urine,
getting up at night to pass urine,
blood in urine,
urinary leakage when coughing or sneezing,
difficulty in getting to the toilet in time when the desire to go occurs
complete stoppage of urine.
The procedure is usually carried out under general anaesthesia. That is, the patient is completely asleep. Sometimes the procedure may be carried out under regional anaesthesia.
For regional anaesthetic the patient is usually given an injection into a vein to make him feel drowsy. Another injection is then placed in the patient's back so that he has no feeling of pain below the waist. The patient may be awake but should not feel any pain.
Bladder neck incision is carried out with an endoscopic instrument passed up through the opening of the penis and the bladder neck cut (incised), allowing it to spring open.Â
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