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Case Reports: Reminder of important clinical lesson
Primary bladder neck obstruction in female: ‘an enigmatic disorder’
  1. Murali Krishna,
  2. Kapil Chaudhary and
  3. Aditya Prakash Sharma
  1. Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Aditya Prakash Sharma; aditya.p.sharma{at}gmail.com

Abstract

A 36-year-old woman presented with problems of lower urinary tract symptoms for 2 years duration. Patient was being managed as a case of urethral stricture with routine calibration. Micturating cystourethrogram showed failure of bladder neck to open. On urodynamic study, she was found to have bladder outlet obstruction with high pressure, low flow pattern. Based on these findings, patient was diagnosed to have primary bladder neck obstruction (PBNO). She was also being evaluated for primary infertility and was to undergo in vitro fertilisation. She successfully underwent bladder neck incision after discussion about management options. Bladder neck incision is one of the accepted management options for PBNO. Post procedure patient was relieved of symptoms and also had an uneventful full-term pregnancy. Bladder neck incision in women is an effective treatment option when patient has been properly selected and procedure done with expert hands.

  • Urological surgery
  • Urology

https://doi.org/10.1136/bcr-2022-248851

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    Footnotes

    • Contributors MK has written and edited the manuscript. AS was the surgeon in charge of the case and provided with the idea and guidance for this paper. KC was involved in management of the patient and in reviewing the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.