You pee into a special machine that measures the amount of pee and the flow rate of your pee. Before the procedure, lidocaine jelly is put into the urethra to numb the tissue. This test is done in the clinic while you’re awake. CystoscopyĪ tiny telescope in placed in the urethra to test the health of the urethral tissue and get information about the scar tissue. The contrast agent helps the X-ray images show the urethra in more detail. These tests can include: Retrograde urethrogramĬontrast agent (also sometimes called contrast dye) is put into the urethra, and then the surgeon takes X-rays. These tests are used to get as much detail as possible about the condition of your urethra, your bladder, and your kidneys so that your doctor can choose the treatments that will work best for you. Your recovery after you’ve been treatedĭiagnostic tests help your doctor choose the right treatment for bladder contracture.One or more procedures to treat your bladder neck contracture.General testing of your health to make sure that your body will be able to tolerate whatever treatment is used to treat your bladder neck contracture.Diagnostic tests that help your doctor better understand the exact details of your case of bladder neck contracture and choose the right treatment for you.The exact steps will depend on your condition and the decisions that you and your doctor make about what’s best for your health. Your treatment will involve a number of steps. Overview of bladder neck contracture treatment Stores urine at low and healthy pressureīladder neck conditions can change over time.Each person’s treatment plan is specific to their condition. There are many choices for treating bladder neck conditions. The tissue damage and scar tissue may happen many years after the radiation treatment. That damage leads to build-up of scar tissue. Radiation often does a good job of treating the cancer, but sometimes it can also damage normal tissue near the tumor. Radiation is often given to patients to treat cancer of the prostate, bladder, and colon. This is called vesicourethral anastomotic stenosis. If these stitches do not heal correctly, scar tissue can build up at the connection. When the prostate is removed because of cancer, the procedure is called a radical prostatectomy.Īfter the prostate is removed during a prostatectomy, the surgeon then uses stitches to rejoin the bladder to the urethra. This increases the risk for poor healing after surgery. Scarring can happen with many other endoscopic procedures, especially those that take a long time or are performed on patients who have had radiation treatments to their pelvis for cancer in the prostate, cervix, or rectum. The most common procedure that causes this scarring is transurethral resection of the prostate, also known as TURP. In rare cases, these surgeries can harm the bladder neck. In endoscopic surgery, small instruments are inserted through the bladder neck to treat conditions such as enlarged prostate, bladder cancer and bladder tumors, and kidney stones. These procedures include: Endoscopic surgery Trauma in these areas sometimes happens during complex medical procedures. Scar tissue that builds up in tubes, like the bladder neck and the urethra, makes those tubes narrower than normal, and that can affect how well they work. Trauma to your body causes scar tissue to build up at the site of the trauma. These tests measure the levels of normal waste products in your kidneys and the health of the filters in your kidneys that move waste products to your urine. Urinary incontinence (involuntary urine leaks)īlood tests can show whether bladder neck contracture is harming your kidneys.Urgency (a feeling that you need to pee right away).This can make the bladder more irritable and cause: The bladder muscle becomes thick after it works at high pressures for a long time. This can lead to permanent kidney damage from backup of urine. After some time, this pressure can harm the bladder and your kidneys. Bladder pressureīladder neck contracture may cause more pressure on your bladder. In other cases, the blood in the urine can only be seen by a microscope. Sometimes you can see the blood in the toilet after you pee. Urinary retention (meaning you cannot pee at all)īladder neck contracture can lead to hematuria, also known as blood in the urine.Some common symptoms of bladder neck contracture include: Your doctor may refer to this build-up of urine as “elevated post-void residual.” Bladder neck contracture can make it hard for you to drain your bladder.
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