Who Needs an Incision Bladder Outlet?

Men who suffer from BPH (benign prostatic hyperplasia) or BEP (benign enlargement of the prostate) may need an incision bladder outlet. They are often middle-age to elderly men whose prostate has enlarged enough to slow or stop the normal flow of urine from the bladder to the urethra, thus increasing the chance of UTI’s (urinary tract infections) and urinary retention.

How Is an Incision Bladder Outlet Performed?

General anesthesia or an anesthesia block from the waist down allows your healthcare provider to perform a bladder outlet incision by inserting a catheter through the penis, or sometimes through the stomach wall to the prostrate. This is followed by a cut to the back wall of the prostrate gland. Due to an enlarged size, a formal coring of the prostrate gland may be needed. During an incision bladder outlet, the blockage from the urethra to the bladder is removed via the urethra.

Possible complications in India

If you have this operation under general anaesthetic, there is a very small risk of complications related to your heart and lungs. The tests that you will have before the operation will make sure that you can have the operation in the safest possible way and will bring the risk for such complications very close to zero.

If you have an anaesthetic injection at the back, there is a very small chance of a blood clot forming on top of your spine which can lead to a feeling of numbness or pins and needles in your legs. Most of the time the clot dissolves on its own and this solves the problem. Extremely rarely, the injections can cause permanent damage to your spine.

In the first 48 hours, bleeding in the urine may be a problem. The medical and nursing staff will deal with this. There is a 5% chance that a blood transfusion may be required because of the blood loss.

Chest infections may arise, particularly in smokers. Do not smoke. Getting out of bed as quickly as possible, being as mobile as possible and co-operating with the physiotherapists to clear the air passages is important in preventing an infection. When the catheter is first removed you may notice that you want to pass urine every few minutes. This is normal and passes off in a day or two. Sometimes after removal of the catheter there is difficulty passing urine at all. It may mean replacing the catheter for three days or more. Sometimes after removal of the catheter there is some dribbling or moistness from the penis after passing urine. This improves with time and the improvement can continue gradually for up to three months. However, there is about 1% chance that you may experience mild to moderate urine incontinence in the long term. Ask the surgeon for advice if it is troublesome.

Infection of the urine can give a burning feeling and a need to pass urine every hour or so. This can be tested and treated by the surgical team. Sometimes blood stains the urine again 7 to 10 days after the operation. You should seek medical advice, but the condition settles down.

There is 10-15% chance that the prostate ring becomes narrow again over months or years. If this happens you should seek medical advice. It is most likely you will need another operation to fix the problem.