Transurethral Incision of the Bladder Neck in a Woman with Primary Bladder Neck Obstruction after Kidney Transplantation. (16th March 2015)

• Record Type: Journal Article
• Authors: Markić, Dean; Valenčić, Maksim; Maričić, Anton; Krpina, Kristian; Rahelić, Dražen; Ahel, Juraj; Rubinić, Nino; Orlić, Lidija; Rački, Sanjin
• Other Names: Klinger Marian Academic Editor.
• Is Part Of: Case reports in transplantation. Volume 2015(2015)
• Publication Date: 2015-03-16
• Subjects: Transplantation of organs, tissues, etc -- Periodicals; Transplantation; Transplantation of organs, tissues, etc; Periodicals; Periodicals; 617.954
• DOI: 10.1155/2015/312084
• Languages: English
• ISSNs: 2090-6943

Abstract

Abstract : Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o'clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient.