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Urology  (Expert Forum)
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Possible bladder neck restrictions caused by scarring after TURP
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.

Possible bladder neck restrictions caused by scarring after TURP

by Robert-Van-Elsberg, Jan 01, 1995 12:00AM
Posted By Robert Van Elsberg on February 17, 1999 at 18:38:27:







I had a TURP in November of 1997 and initially seemed to have good results. However, within a month or so after the surgery, I began to have urine retention problems again. When I went to the urologist who performed the surgery, he could barely pass a catheter into my bladder -- this was actually much harder and more painful than before the TURP. While the TURP had removed the blockage problems in the prostate, it appears (to me at least) that there has been scarring in the bladder neck which is now restricting urine flow. My urologist agrees but he tells me that a surgery to remove the scarring and improve urine flow could actually lead to worse scarring and a more restricted urine flow. At 46 years of age, I am really tired of getting up three-four times a night to urinate small amounts. This is hardly any better than before I had my TURP. Is surgery to remove the scar tissue in the bladder neck really as problematic as my urologist suggests? Are there any surgical techniques which show a good prognosis for success in alleviating this problem?
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