Bladder neck incision (BNI) is actually typically 2 incisions into the sides of the bladder neck and prostate. No prostate tissue is removed but these result in the outlet to the bladder being made wider, reducing the resistance to the outflow of urine from the bladder. It is one option available to relieve the symptoms of an obstructive prostate which may be enlarged (Benign Prostatic Hyperplasia or BPH). The prostate is a gland in men which sits between the bladder and the urethra (water pipe). It forms part of the male urinary and reproductive tracts. It is essential for normal fertility and produces some of the fluid that makes up semen. If the inner part of the prostate gland can obstruct the urethra during urination, which may result in:

A BNI is most often performed for smaller benign prostate glands which cause obstruction, or to treat stenosis (narrowing) of a bladder neck, which may be a complication of previous surgery on the prostate. The procedure is performed under a general or spinal anaesthetic. A fine instrument called a cystoscope is placed into the urethra and a thin band with cautery or a laser fibre is used to make two incisions at along the sides of the bladder neck and prostate. This results in a widening of the outflow channel exiting the bladder through the prostate.


NOTIFY your UROLOGY  if you experience any of the following: