The Long-term Effect of Superficial Bladder Neck Incision on Ejaculation and Incontinence in Boys with Primary and Secondary Bladder Neck Obstruction

Hennus, Pauline M. L.; Hoenjet, Esther; Kieft, Jan H.; Jong, Tom P.V.M. de; Kort, Laetitia M.O. de

doi:10.3389/fped.2017.00152

Cited by 11 publications

(4 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hennus and co-workers reported on the long-term effects on ejaculation and urinary continence in 40 participants who had unilateral superficial BNI at a mean age of 4.5 years. All men had antegrade ejaculation, 10.8% reported possibly reduced ejaculatory volume and 5.8% had moderate urinary incontinence (19). Likewise, Keihani found no effect of BNI on continence, antegrade ejaculation or semen quality in 18 adult patients who had PVA and BNI during childhood (20).…”

Section: Discussionmentioning

confidence: 90%

Can concomitant bladder neck incision and primary valve ablation reduce early re-admission rate and secondary intervention?

et al. 2022

View full text Add to dashboard Cite

Objective: To assess the effect of bladder neck morphology and its incision (BNI) in patients with posterior urethral valve (PUV) on early reintervention rate. Patients and methods: Infants undergoing PUV ablation (PVA) before 24 months of age and had at least 18 months of follow-up, were categorized into three groups according to the bladder neck appearance on baseline radiological and endoscopic examination: group 1; normal bladder neck underwent PVA, group 2; high bladder neck underwent PVA plus BNI, group 3; high bladder neck underwent PVA only. Early reintervention was defi ned as the need for check cystoscopy because of persistent renal function deterioration, worsening hydronephrosis and/or unsatisfactory VCUG improvement during the 1st six months post primary PVA. Results: Between 2000 and 2017, a total of 114 patients underwent PVA and met the study criteria with a median follow-up of 58 (18-230) months. For group 1, 16 (22.9%) patients needed readmission. Check cystoscopy was free and no further intervention was performed in 5(7.5%) and re-ablation was performed in 11(15.7%) patients. For group 2, 3(14.3%) patients needed reintervention. Re-ablation and re-ablation plus BNI were performed in 1(4.8%) and 2(9.5%), respectively. For group 3, cystoscopy was free in 1(4.3%), re-ablation and re-ablation plus BNI were performed 2(8.7%) and 1(4.3%), respectively. There were no signifi cant differences in the re-admission and re-intervention rates among the three study groups (p=0.65 and p=0.50, respectively). Conclusion: In morphologically high bladder neck associated PUV, concomitant BNI with PVA doesn't reduce early re-intervention rate.

show abstract

Section: Discussionmentioning

confidence: 90%

Can concomitant bladder neck incision and primary valve ablation reduce early re-admission rate and secondary intervention?

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Hennus et al [ 6 ] followed up 40 patients (median age at first intervention was 4.7 and 19.6 years) who underwent unilateral transurethral bladder neck incision. Antegrade ejaculation was preserved in all patients.…”

Section: Discussionmentioning

confidence: 99%

“…Antegrade ejaculation was preserved in all patients. However, 10.8% of the patients had reduced ejaculatory volume [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Is Sacral Neuromodulation a Treatment Option for Primary Bladder Neck Obstruction?

Alzahrani¹,

El-Tholoth²,

Alsulihem³

2022

Cureus

View full text Add to dashboard Cite

Here, we present the first reported case that used sacral neuromodulation as a treatment option for bladder neck obstruction in a 48-year-old man who presented with a long-standing history of lower urinary tract symptoms such as storage and voiding symptoms unresponsive to conservative and medical treatments, including chemodenervation. The patient was diagnosed with primary bladder neck obstruction (PBNO) using a urodynamic study, voiding cystourethrography, and cystoscopy. Sacral neuromodulation was used because the patient refused bladder neck incision because of the risk of retrograde ejaculation. The patient reported significant improvement in symptoms with no obstructive pattern on follow-up uroflowmetry after six months. The use of alpha-blockers, bladder neck incision, and Botox injection into the bladder neck to treat PBNO has been reported. The successful use of sacral neuromodulation to treat PBNO has not been reported before.

show abstract

“…Hennus et al demonstrated preservation of antegrade ejaculation and concluded that SBNI in boys with severe infravesical obstruction can be done safely with preservation of antegrade ejaculation. 5 In their study, Hennus et al followed up 40 males who had SBNI at a median age of 4.7 years and 19.6 years at follow-up. All had antegrade ejaculation, two (5.4%) had moderate incontinence and 8 (22%) had moderate lower urinary tract symptoms.…”

Section: Treatmentmentioning

confidence: 99%

Primary bladder neck obstruction (PBNO) in children in a resource-limited setting

Mugalo¹,

Akello²,

Mburu³

et al. 2022

Urology Case Reports

View full text Add to dashboard Cite

The Long-term Effect of Superficial Bladder Neck Incision on Ejaculation and Incontinence in Boys with Primary and Secondary Bladder Neck Obstruction

Cited by 11 publications

References 29 publications

Can concomitant bladder neck incision and primary valve ablation reduce early re-admission rate and secondary intervention?

Can concomitant bladder neck incision and primary valve ablation reduce early re-admission rate and secondary intervention?

Is Sacral Neuromodulation a Treatment Option for Primary Bladder Neck Obstruction?

Primary bladder neck obstruction (PBNO) in children in a resource-limited setting

Contact Info

Product

Resources

About