Jocius Kestutis Kazimieras, Sukys Deimantas
Clinic of Urology, Kaunas University of Medicine, Lithuania.
Medicina (Kaunas). 2002;38 Suppl 1:48-55.
The goal of this article is a description of bladder neck obstruction (sclerosis) treatment results at the Department of Urology at Kaunas University of Medicine Hospital and the review of current literature on this subject. Sixty seven patients treated for bladder neck obstruction (sclerosis) in the period of 1995-2000 years were analyzed retrospectively. On admission to the hospital, 31 patient had undergone open prostatectomy for benign prostatic hyperplasy, 14 had undergone thransurethral prostate resection and 22 had no previous prostatic surgery. The usual diagnostic procedure for bladder neck obstruction (sclerosis) in Kaunas University of Medicine Hospital is retrograde uretherocystography. According to current literature the videourodynamics is the most effective diagnostic procedure, however, still not available at Kaunas University of Medicine Hospital. The transurethral bladder neck incision or/and resection is effectively used for bladder neck obstruction (sclerosis) treatment at Kaunas University of Medicine Hospital. The near postoperative results are good for 73.4% of patients. This method is the most widely used for bladder neck obstruction (sclerosis) treatment around the world.