Bladder neck incision

Bladder neck incision is a minimally-invasive procedure to improve urine flow in men with an enlarged prostate gland. 

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What is it for?

Surgery to relieve the symptoms of an enlarged prostate gland

Treatment overview

Bladder neck incision is minimally invasive surgery and is carried out through a surgical telescope inserted into the urethra. It is to help improve the flow of urine in men experiencing symptoms due to an enlarged prostate gland. 

Around one in three men over the age of 50 in the UK have an enlarged prostate gland. This can impair the flow of urine, leading to symptoms including a weak urine stream, needing to pass urine more frequently (including at night), a feeling that the bladder is not completely empty and dribbling after urinating. 

At London Urologica, our urologists use an innovative device called a resectoscope to make small cuts in the bladder wall. 

The procedure is carried out either under general anaesthetic or under spinal anaesthetic – where you will be awake but unable to feel anything below your waist.

The procedure is quick and in most men is effective in improving symptoms. With London Urologica, an expert multidisciplinary team will also support you from your first consultation, during your treatment and throughout your recovery.  

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Bladder neck incision is one possible treatment option if you are experiencing symptoms as a result of an enlarged prostate gland. 

At London Urologica, our expert urologists will discuss with you whether it is appropriate for you as well as other options. 

We offer innovative treatments such as Urolift or iTind, where implants are used to improve the flow of urine, as well as aquablation therapy where prostate tissue is removed using a heat-free waterjet.

Other options might include medication or another surgical option such as TURP (Transurethral Resection of the Prostate) surgery or prostate artery embolization.

The procedure of bladder neck incision itself usually takes 20-30 minutes. 

After the procedure, you will need to stay one or two nights in hospital so we can monitor your recovery. 

After the procedure, a catheter will be inserted to drain your urine. This is usually removed after 24-48 hours. Once you are able to pass urine normally you will be able to go home.

Every surgical procedure has a risk of side effects. After bladder neck incision, most patients experience some mild burning and bleeding and will feel a need to urinate frequently. These effects are usually temporary. 

Less often, patients may develop a urinary tract infection and will need to take a course of antibiotics or will have retrograde ejaculation (where no semen is produced). 

Rarely, patients may experience problems with the anaesthetic or cardiovascular problems.

You may find it uncomfortable to pass urine for a few days after surgery. 

Most people are able to return to work and other normal activities after around a month. 

You may need to avoid any strenuous activities or manual labour for a little longer than this. London Urologica’s expert team will support you as you recover, as well as provide advice on managing any side effects.

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