Naslov
Transurethral incision of the bladder neck in woman with primary bladder neck obstruction after kidney transplantation

Autori
Markić, Dean ; Valenčić, Maksim ; Maričić, Anton ; Krpina, Kristian ; Rahelić, Dražen ; Ahel, Juraj ; Rubinić, Nino ; Orlić, Lidija ; Rački, Sanjin

Izvornik
Case Reports in Transplantation (2090-6943) 2015 (2015); 312084, 4

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, stručni

Ključne riječi
Bladder neck obstruction, female voiding dysfunction, bladder neck incision, kidney transplantation

Sažetak
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.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA