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Primary Bladder Neck Obstruction in Men and Women: an Update on Diagnosis and Management

  • Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)
  • Published:
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Abstract

Primary bladder neck obstruction (PBNO) is a rare condition of the lower urinary tract seen in young and middle-aged patients. The true prevalence of this entity is unknown; however, it has been reported in 5–11 % of young women and 28–54 % of young men with lower urinary tract symptoms (LUTS). The diagnosis of PBNO requires a high index of suspicion and an experienced clinician due to the variety of presenting urinary symptoms, and often a much delayed presentation, which frequently is not reported by patients, and often misdiagnosed by clinicians. Videourodynamics (VUDS) will greatly assist in making the diagnosis. Observation, medical therapy, and surgical therapy are the treatment options with variable success rates. This detailed review focuses on history, presentation, diagnosis, and management of PBNO in both men and women.

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Himanshu Aggarwal and Gary E. Lemack declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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  1. Department of Urology, University of Texas Southwestern Medical Center, Room JA5.114, 5323 Harry Hines Blvd., Dallas, TX, 75390-9110, USA

    Himanshu Aggarwal & Gary E. Lemack

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  1. Himanshu Aggarwal
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  2. Gary E. Lemack
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Correspondence to Himanshu Aggarwal.

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This article is part of the Topical Collection on Post-Prostatectomy and Acquired Voiding Dysfunction

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Aggarwal, H., Lemack, G.E. Primary Bladder Neck Obstruction in Men and Women: an Update on Diagnosis and Management. Curr Bladder Dysfunct Rep 10, 288–294 (2015). https://doi.org/10.1007/s11884-015-0315-6

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  • DOI: https://doi.org/10.1007/s11884-015-0315-6

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