[Transurethral endoscopic dissection of the bladder neck and prostate].

Transurethral endoscopic incision of the neck of the bladder and the prostate was conducted for elimination of infravesical obstruction due to benign prostatic hyperplasia (BPH) of a small size and sclerosis of the bladder neck or prostate. 37 patients aged 22-85 years were treated: 17 had BPH and 20 had bladder neck sclerosis (primary in 2 and secondary in 18 patients). In 4 cases the incision was combined with internal urethrotomy, in 4 with cystolithotripsy and in 2 with transurethral resection of the bladder. The diagnosis was made basing on routine blood counts, urinalysis, x-ray, ultrasonic, uroflowmetry and pathomorphological investigations. The last stage of the examination was urethrocystoscopy made shortly before operation. The symptoms were evaluated according to answers in the J-PSS questionnaire. Anesthesia was only intravenous or epidural. A spicular Collins electrode cut at 5 and 7 of the assumed dial. After hemostasis an urethral catheter was inserted for 24-48 hours. The intervention lasted 15 minutes, no lethal outcomes occurred. Marked symptomatic improvement was achieved in 36 patients (97%). BPH cut was uneffective in one patient who subsequently underwent transurethral resection.