Document Detail


Transurethral incision of the bladder neck using KTP in the treatment of bladder neck obstruction in women.
MedLine Citation:
PMID:  19172099     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To study the results and complications of the potassium-titanyl-phosphate (KTP, green) laser during transurethral incision of the bladder neck in the treatment of female voiding dysfunction due to bladder neck obstruction. METHODS: A total of 40 women (43-79 years of age) with obstruction were identified. Patients with neurogenic, traumatic, or iatrogenic causes of obstruction were excluded. Preoperative investigations included a full urodynamic examination and urethrocystoscopy. Transurethral bladder neck incision with KTP was performed in all patients. Urodynamic results, clinical improvements in voiding symptoms, and volume of bleeding were assessed. RESULTS: Of the 40 patients, 12 had chronic urinary retention and 28 had difficult micturition. The most common findings on urodynamic study were a high voiding pressure plus low flow rate and high urethral pressure. After treatment, the lower urinary tract symptoms were resolved or improved in all patients. Urodynamic study revealed decreased voiding pressure, post-void residual urine volume, and increased maximal flow rate. CONCLUSIONS: Transurethral incision of the bladder neck is effective in relieving voiding difficulties owing to anatomic or functional bladder neck obstruction in women. KTP has great efficacy in the treatment of female voiding dysfunction due to bladder neck obstruction.
Authors:
Qiang Fu; Yue-Min Xu
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Publication Detail:
Type:  Journal Article     Date:  2009-01-20
Journal Detail:
Title:  Urologia internationalis     Volume:  82     ISSN:  1423-0399     ISO Abbreviation:  Urol. Int.     Publication Date:  2009  
Date Detail:
Created Date:  2009-01-27     Completed Date:  2009-03-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417373     Medline TA:  Urol Int     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  IM    
Copyright Information:
(c) 2009 S. Karger AG, Basel.
Affiliation:
Department of Urology, Sixth People's Hospital, Shanghai Jiaotong University, Shanghai, PR China. jamesqfu@yahoo.com.cn
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cystoscopy
Female
Humans
Laser Therapy* / adverse effects
Lasers, Solid-State*
Middle Aged
Patient Selection
Pressure
Quality of Life
Time Factors
Treatment Outcome
Urethra / physiopathology,  surgery*
Urinary Bladder Neck Obstruction / complications,  physiopathology,  surgery*
Urination Disorders / etiology,  physiopathology,  surgery*
Urodynamics
Urologic Surgical Procedures / adverse effects,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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