Bladder Neck Contraction After TURP

[Questor]

I had a TURP done in Jan 2006 due to BPH.
Recently, I my urination is a start, stop, start, stop and squirt, squirt affair.
I went to see my Urologist about the problem and he did a prostate scope for me.
He pushed the tube up until the neck of the bladder and told me that he is unable to enter the bladder due to scaring of the bladder neck caused by the TURP operation.
He suggested making two incisions in the bladder neck to relieve the contraction and return my urination to normal.
My questions are:
1.   since TURP is the coring of the prostate and does not involve the bladder at all, how does
      scaring happen in the bladder neck?
2.   will my urine stream return to normal after the incisions?
3.   are there other methods to solve the problem?
4.   will the incisions individually join back when they healed and I'll be back to square one?
5.   if 2 is no problem will the effects of the operation be very lasting?
6.   are there laser treatment to burn away the obstructing scar tissues and how lasting is it?
Thank you.
Regards,

[HeinrikMD]

The TURP is trans-urethral. The urinary bladder narrows down into a neck and empties into the urethra. The prostate is in a position where the bladder neck connects to the urethra, hence, a scar from an operation in this area is a possible complication.
Treatment would involve making the urethral passage wider (which should translate into improved urine flow as well), it seems a laser treatment has been discussed with you. An advantage of the laser is that it allows faster healing, and hence you would need to have an indwelling catheter for about 3 -5 days only. Your question on how long would be the stream maintained is difficult to estimate, it may be best to discuss this with your doctor. One report on laser indicate for patients who already had recurrences, laser afforded an interval of  around 8-16 months.  
Stay positive.