Bladder Neck Obstruction Symptoms, Causes, Diagnosis, and Treatment

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Dr. Ashish Saini, A top urologist in Delhi, offers reliable and effective treatment for Bladder Neck Obstruction.

Dr. Ashish Saini is widely recognized as a top Andrologist and urologist in Delhi and the National Capital Region (NCR). With a notable academic background, including a Gold Medal from AIIMS New Delhi, he brings over 12 years of extensive experience, having successfully performed numerous complex urological and andrology-related surgeries. His exceptional contributions have been acknowledged through multiple prestigious awards throughout his professional journey. Dr. Ashish Saini completed his MBBS degree from the esteemed King George Medical College (KGMC) Lucknow, and subsequently pursued his M.Ch in Urology from the renowned All India Medical Sciences (AIIMS) in New Delhi, known for its excellence in medical education. Dr. Ashish Saini has achieved a remarkable milestone, successfully completing over 5200 urology and andrology surgeries. His patients hail from various regions across India and the world. Dr. Ashish Saini stands out unequivocally as an exceptional andrologist and urologist in Delhi, NCR, and India, owing to his extensive and diverse expertise in the specialized fields of urology and andrology.

What is Bladder Neck Obstruction

Bladder Neck Obstruction (BNO) is a condition characterized by the partial or complete blockage of the bladder neck, causing difficulties in urination. It can be caused by factors like an enlarged prostate, bladder stones, or certain medical conditions. Diagnosis involves a medical history review, physical examination, and tests such as uroflowmetry and cystoscopy. Treatment options depend on the cause and severity and may include medication or surgical procedures to alleviate the obstruction and improve urine flow. Consult the best urologist for treatment of high bladder neck in Delhi NCR

Symptoms of Bladder Neck Obstruction

Bladder Neck Obstruction (BNO) can manifest with various symptoms, including:
  • Weak urine flow: Difficulty initiating and maintaining a strong urine stream during urination.
  • Frequent urination: Feeling the need to urinate more often than usual. Watch the Video of Frequent Urination.
  • Incomplete bladder emptying: Sensation of not fully emptying the bladder after urination.
  • Straining during urination: Exerting effort to start or continue urination.
  • Urinary retention: Inability to completely empty the bladder, leading to persistent residual urine.
  • Urgency: Strong and sudden urge to urinate.
  • Hesitancy: Delay or difficulty in starting urination.
  • Urinary tract infections (UTIs): Recurrent UTIs may occur due to incomplete bladder emptying. Book UTI Treatment in Delhi NCR.
  • Post-void dribbling: Leakage of urine after completing urination.
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Causes of Bladder Neck Obstruction

Bladder Neck Obstruction (BNO) can have various causes, including:
  • Enlarged prostate (Benign Prostatic Hyperplasia, BPH): The most common cause of BNO in males, BPH refers to the non-cancerous enlargement of the prostate gland, which can compress the bladder neck and obstruct urine flow.
  • Bladder or prostate cancer: Tumors in the bladder or prostate can block the bladder neck, leading to obstruction.
  • Bladder stones: Calculi or stones in the bladder can obstruct the bladder neck, affecting urine flow.
  • Urethral strictures: Narrowing or scarring of the urethra can impede urine passage through the bladder neck.
  • Pelvic organ prolapse: In females, when the pelvic organs (such as the bladder, uterus, or rectum) descend and push against the bladder neck, it can result in obstruction.
  • Neurological conditions: Certain neurological disorders like multiple sclerosis or spinal cord injuries can affect the nerves controlling the bladder neck muscles, leading to obstruction.
  • Congenital abnormalities: Some individuals may have structural abnormalities present from birth that can cause BNO.
  • iatrogenic causes: Previous surgeries, such as prostate surgery or bladder neck procedures, may result in scar tissue formation that can obstruct the bladder neck.
It’s important to note that the specific cause of BNO can vary among individuals, and a comprehensive evaluation by a healthcare professional is necessary to determine the underlying cause in each case.
How Bladder Neck Obstruction diagnosed?

How Bladder Neck Obstruction diagnosed?

The diagnosis of Bladder Neck Obstruction (BNO) involves several steps and diagnostic tests. Here is an overview of the diagnostic process:
  • Cystoscopy: Cystoscopy is a procedure in which a thin, flexible tube with a camera (cystoscope) is inserted into the urethra and guided into the bladder. It allows direct visualization of the bladder and urethra, helping to identify any structural abnormalities or obstructions.
  • Imaging tests: Depending on the specific situation, additional imaging tests may be conducted, such as ultrasound, X-ray, or magnetic resonance imaging (MRI). These tests can provide detailed images of the bladder, prostate (in males), and surrounding structures to help identify any blockages or abnormalities.
  • Medical history review: The healthcare provider will ask about your symptoms, their duration, and any relevant medical conditions or medications.
  • Physical examination: A physical examination, including a genital examination, may be performed to assess the bladder and surrounding structures.
  • Urinalysis: A urine sample may be analyzed to check for signs of infection or other abnormalities.
  • Uroflowmetry: This test measures the rate and pattern of urine flow during urination. It helps assess the strength and consistency of the urine stream, which can provide insights into the presence of bladder neck obstruction.
  • Post-void residual measurement: This test measures the amount of urine remaining in the bladder after urination. It can indicate if there is incomplete bladder emptying, which is commonly associated with bladder neck obstruction.

How Bladder Neck Obstruction​ is Treated?

The treatment of Bladder Neck Obstruction (BNO) depends on the underlying cause and the severity of the obstruction. Here are some common treatment approaches:
  • Medications: Depending on the specific cause of BNO, medications may be prescribed to relax the bladder neck muscles and improve urine flow. Alpha-blockers and anticholinergic drugs are commonly used for this purpose.
  • Catheterization: In cases of severe urinary retention or when other treatments are not effective, temporary or long-term catheterization may be necessary. A catheter is inserted into the bladder to drain urine and relieve the obstruction.
  • Minimally invasive procedures: Several minimally invasive techniques can be used to treat BNO, such as Transurethral Incision of the Bladder Neck (TUI-BN) or Transurethral Resection of the Bladder Neck (TUR-BN). These procedures involve making small incisions or removing obstructing tissues to widen the bladder neck and improve urine flow.
  • Surgical intervention: In more severe cases or when other treatments are ineffective, surgical procedures may be required. Surgical options include bladder neck reconstruction, bladder neck suspension, or removal of obstructing structures. The specific surgical approach depends on the underlying cause and the individual’s condition.
The choice of treatment will be determined by a urologist based on factors such as the cause of BNO, the severity of symptoms, the individual’s overall health, and their preferences. It is essential to consult with a healthcare professional who can evaluate your specific case and recommend the most appropriate option for Bladder Neck Obstruction Treatment in Delhi.


Questions asked by new visitors​

Bladder neck obstruction may not always be preventable, as some causes, such as congenital abnormalities, cannot be avoided. However, maintaining a healthy lifestyle, managing conditions like an enlarged prostate or urinary tract infections promptly, and seeking regular medical check-ups can help identify and address potential issues early on.

While lifestyle changes may not directly treat bladder neck obstruction, they can support overall bladder health and manage symptoms. Examples include maintaining a healthy weight, practicing pelvic floor exercises (Kegels), avoiding excessive caffeine and alcohol intake, and following a regular urination schedule.

The recovery period after bladder neck obstruction surgery can vary depending on the type of surgery performed, individual factors, and the severity of the condition. In general, it may take a few weeks to several months to fully recover. The healthcare team will provide specific post-operative instructions and guidelines for a smooth recovery.

If left untreated, bladder neck obstruction can lead to complications such as urinary tract infections, recurrent bladder infections, bladder stones, chronic urinary retention, bladder or kidney damage, and other urinary problems. It is important to seek medical attention and follow the recommended treatment plan to minimize the risk of complications.

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