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This surgery can be carried out by one of our experienced consultants.

Bladder neck incision is minimally-invasive surgery to improve urine flow in men with enlarged prostate glands. The London Clinic's renowned urologists use an innovative device called a resectoscope to open the neck of your bladder, relieve the pressure, and improve the urine flow.

Prostate problems are common, affecting one in three men over the age of fifty. The London Clinic's urology team provides bladder neck incision together with a range of innovative prostate treatments, and a comfortable, stress-free environment in which to recover. 

The London Clinic's urology consultants perform bladder neck incision in state-of-the-art operating theatres, using the latest equipment and technology. The urologists are assisted by an expert multidisciplinary team that will support you from your first consultation, during your procedure, and throughout your recovery.

What is bladder neck incision?

Bladder neck incision is an operation to open the neck of the bladder. 

In men, the prostate gland can restrict the bladder where it joins the urethra. In bladder neck incision surgery , the consultant urologist operates through a surgical telescope to make small cuts in the bladder neck, relieving the obstruction and improving urine flow.

Who can benefit from bladder neck incision?

Around a third of men over the age of 50 in the UK have an enlarged prostate gland.  The prostate is a small, walnut-sized gland located between the bladder and penis in men. Benign prostate enlargement or BPH is the most common cause of prostate enlargement. It causes problems in the passage of urine, disturbing sleep, leading to incontinence, and decreasing the quality of life. 

BPH blocks the flow of urine, increases the risk of urine infections, and causes distressing symptoms, including the following:

  • Problems starting the flow of urine.
  • Needing to pass urine more frequently.
  • A weak urine stream. 
  • The sensation that the bladder isn't emptying properly.
  • Dribbling after passing urine.
  • Getting up at night to go to the toilet.
  • Urgency when you need to pass urine.

The London Clinic provides specialist treatment for benign prostate enlargement. The world-leading urologists offer expert assessment and bespoke treatment to resolve symptoms and restore wellbeing. 

Treatment options

The urologists at The London Clinic provide comprehensive treatment programmes for prostate problems. As well as bladder neck incision, other treatments can improve urine flow and resolve symptoms. The London Clinic offers medical therapies, surgical procedures, and innovative new therapies for BPH. These include:

  • TURP surgery: Transurethral resection of the prostate is an operation to remove prostate tissue.
  • Medication: Drug treatment can improve the symptoms of prostate enlargement, particularly in the early stages. 
  • Aquablation therapy:  A minimally-invasive surgical treatment in which the surgeon removes prostate tissue using a heat-free waterjet.
  • Urolift: A minimally invasive procedure in which the urologist inserts an implant that rapidly improves urine flow without the loss of ejaculatory or erectile function. 
  • Prostate artery embolisation: The London Clinic is one of the first independent hospitals in the UK to offer prostate artery embolisation. The procedure involves blocking the arteries that supply blood to the prostate, causing it to shrink. 
  • iTind:  ITind is a temporary implant that the urologists insert in a quick, minimally-invasive procedure. The device presses on the urethra and improves the flow of urine. 

Bladder neck incision at The London Clinic

The urologists at The London Clinic perform bladder neck incision under general anaesthetic or using a spinal block so that you are awake but numb below the waist. The procedure lasts less than an hour.

Your surgeon will insert a fine operating telescope called a resectoscope into your penis. They will use specially-designed instruments to make a series of small cuts in the neck of the bladder. This is the area where an enlarged prostate can restrict urine flow. The incisions open the neck of the bladder, relieving the pressure and boosting urine flow.

Recovery and aftercare

After the procedure, you will need to stay in hospital overnight so that the expert team can monitor and support you as you recover. 

You will usually have a tube called a catheter draining your urine. The bladder may be irrigated with fluid to prevent any blood or tissue from the operation blocking the urine flow. The team will usually remove the catheter after 24-48 hours. When you are passing urine independently, you can go home.

Your team will let you know their findings during surgery and provide individual guidance on aftercare. They will also arrange follow-up. You should be able to return to work and normal activities after around a month. However, it can take longer if your job involves manual labour. 

Passing urine can be uncomfortable for several days. Drink plenty of fluids (at least 2-3 litres a day) to keep the urine dilute and reduce discomfort. If you are in increasing pain or struggling to empty your bladder, contact the urology team. They will always be on hand if you have any problems or worries.

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world-renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments.

Patients have the option to spread the cost of treatment with Chrysalis Finance.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

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