The bladder neck
is open, which rules out denervation; the detrusor is contracting with increasing intravesical pressure ruling out areflexia.
A) Developed space of Retzius and prostate defatted anteriorly and laterally; B) Transverse capsulotomy; C) Exposure of urethral fibres at bladder neck
; D) Completed dissection of prostate adenoma; E) Closure of bladder neck
mucosa to urethral mucosal; F) Closure of the prostatic capsule with running suture.
Concomitant bladder or bladder neck
injury offer other indications for acute intervention but leave optional how to deal with the urethra (leave it alone for later repair or acutely realign).
The narrow paraurethral incision made in the inside-to-out approach ensures that the tape stays where it is placed--at the midurethra--without slipping back to the bladder neck
The bladder neck
is the site of cuff placement in these patients.
3) To avoid this high failure rate, Li and colleagues recommended selective TURP in combination with transurethral incision of the bladder neck
in patients with small obstructing prostate.
The standard midsagittal field of vision includes the symphysis pubis anteriorly, the urethra and bladder neck
, the vagina, cervix, rectum, and anal canal.
A cystoscopy under general anesthesia was performed and showed a flat edematous hypervascularized lesion with unclear borders localized at the bladder neck
5 cm at the posterior inferior surface of the bladder near the bladder neck
It has been reported that placing ureteral stents during robot-assisted laparoscopic radical prostatectomy particularly in patients with a large median lobe after the incision of the anterior bladder neck
makes the ureteral dissection procedure safer.
Two lines were marked initially; these lines originated at 5 o'clock and 7 o'clock at the bladder neck
and continued along the boundaries between the median and lateral lobes before terminating at the proximal margin of the verumontanum.
5-3 cm beyond bladder neck
clinched the diagnosis as a case of urethral injury.
12) found in their multivariate analysis that the duration of catheterization, bladder neck
preservation, and preoperative IIEF values were associated with early continence.
A cystoscopy and bladder neck
resection were carried out for the urinary outlet obstruction.
This device consists of two anchors and a silicone tube that reduces resistance in the bladder neck
and prostatic urethra without stenting the external sphincter.