Incontinence Following Transurethral Resection of the Bladder Neck in the Female

Abstract

Incontinence is an unwelcome complication of transurethral resection (TUR) of the bladder neck in the female. A computerised analysis of 238 procedures performed during the period 1940 to 1972 was carried out to assess the morbidity due to this complication and to evaluate possible predisposing factors. Initially 15.2% of patients were incontinent but 70% of these soon became continent without further treatment. The remaining 4.7% were treated by surgical or other measures. The incidence of incontinence was unrelated to the amount of tissue removed or to the number of operations, but was significantly lower when the operation was done for polypi of the bladder neck and significantly higher in patients with a cystocele or urethrocele. It seems possible to reduce the incidence of incontinence by careful selection of cases.

Transurethral Resection of Bladder Neck in the Management of Primary Bladder Neck Obstruction in Female: Our Preliminary Experience in Bangladesh

“…Over jealous resection was performed by an inexperienced hand in this case and another patient had become continent within one month follow up. Bhatnagar et al also demonstrated 15.3% incidence of incontinence in a large series BNR in the early post operative period but in 76% of these patients symptom resolved without further treatment 19 . Delaere et al suggested that to avoid this severe troublesome unwelcome complication it was better to perform repeat BNR rather than over jealous resection and in their series 28.8% patients needed repeat BNR to become symptom free [20].…”