Functional Bladder Neck Obstruction in Males:
A Progressive Disorder?

Mishra, Vinod; Kumar, Anant; Kapoor, Rakesh; Srivastava, Aneesh; Bhandari, Mahendra

doi:10.1159/000474738

Cited by 21 publications

(10 citation statements)

References 8 publications

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“…Obviously, besides prostate, other non-prostatic or functional causes should be found for obstructive voiding. Bladder neck dyssynergia has been suggested to be another plausible cause for the functional voiding dysfunction [61,62]. The organic fibrosis and accentuated sympathetic nervous function could be the two major causes on the pathology or nature of the bladder neck contracture.…”

Section: Estrogen and Detrusor Malfunctionmentioning

confidence: 99%

Estrogens and bladder outlet obstruction

Rahman

2010

The Journal of Steroid Biochemistry and Molecular Biology

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Section: Estrogen and Detrusor Malfunctionmentioning

confidence: 99%

Estrogens and bladder outlet obstruction

Rahman

2010

The Journal of Steroid Biochemistry and Molecular Biology

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“…Lower urinary tract symptoms are fairly common in young men. Many young males who present chronic irritative or obstructive symptoms are commonly misdiagnosed as having chronic prostatitis or prostatodynia 1–4. They are often treated by empiric means for prolonged periods with antibiotics, anticholinergics or alpha blockers with unsatisfactory results, and subsequent frustration for both the physician and the patient 1–5…”

Section: Introductionmentioning

confidence: 99%

“…Several authors have reported voiding dysfunction in young men and its association with lower urinary tract symptoms and pelvic pain. Primary bladder neck obstruction,2–4, 6, 7 dysfunctional voiding,8 detrusor overactivity and impaired detrusor contractility9 have all been described as causes of lower urinary tract symptoms in young men. In many of these studies the authors have stressed on the importance of urodynamics in diagnostic evaluation of young men with lower urinary tract symptoms.…”

Section: Introductionmentioning

confidence: 99%

Urodynamic findings in young men with chronic lower urinary tract symptoms

Karami

Valipour

Lotfi

et al. 2011

Neurourology and Urodynamics

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“…Unlike the elderly population, where the etiology is likely to be benign prostatic hyperplasia, a significant proportion of our younger patients had primary bladder neck dysfunction. Described by Turner‐Warwick, 12 primary bladder neck dysfunction is a poorly understood non‐neurogenic condition previously thought to occur almost exclusively in young and middle‐aged men 2 , 4–6,13 . However, this entity has recently been reported in the pediatric age group as well 13 .…”

Section: Discussionmentioning

confidence: 99%

Urodynamic studies in the evaluation of young men presenting with lower urinary tract symptoms

Toh¹,

Ng²

2006

Int J of Urology

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Aim:To evaluate the usefulness of urodynamic study in young men with lower urinary tract symptoms (LUTS). Methods: We reviewed the charts of 50 men with LUTS aged 50 years and below. Those with neurological diseases, urethral trauma or strictures were excluded. All underwent multichannel urodynamic studies (UDS). The pre-and post-UDS diagnoses and treatment modalities were compared. Results: Mean age was 38.1 years (17-49). The main pre-UDS diagnoses included prostatitis in seven (14%), overactive bladder in seventeen (34%) and benign prostatic hyperplasia in nine (18%). Pre-UDS management ranged from anticholingeric agents for thirteen (26%), α-adrenergic antagonists for nine (18%), antibiotics for six (12%). Abnormal UDS were noted in 36 (72%), including detrusor overactivity in 9 (18%), detrusor underactivity/acontractility in 5 (10%) and bladder outlet obstruction in 21 (42%). Fourteen (28%) had primary bladder neck dysfunction and five (10%) had benign prostatic hyperplasia. Post-UDS management included anticholingeric agents for ten (26%), α-adrenergic antagonists for seventeen (34%), catheterization for four (10%), behavioral therapy for three (6%), surgery for three (6%). None were prescribed antibiotics. Following UDS, the diagnosis had to be updated in 40 (80%) and concomitant change in management was required in 34 (68%). Conclusion: Young men presenting with LUTS have different underlying etiologies. Clinical diagnosis and treatment are often empiric and inaccurate. Urodynamic study is useful in the evaluation of this group of patients as it aids in arriving at an accurate diagnosis and guides treatment therapy.

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Functional Bladder Neck Obstruction in Males: A Progressive Disorder?

Cited by 21 publications

References 8 publications

Estrogens and bladder outlet obstruction

Estrogens and bladder outlet obstruction

Urodynamic findings in young men with chronic lower urinary tract symptoms

Urodynamic studies in the evaluation of young men presenting with lower urinary tract symptoms

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