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Primary bladder neck obstruction

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Summary

Primary bladder neck obstruction is not uncommon in young and middle age men. The symptoms are confounding and routine urologic investigation including cystometry, uroflow, voiding cystourethrography and cystourethroscopy often leads to an erroneous diagnosis of “psychogenic voiding dysfunction”, “neurogenic bladder” or “prostatitis”. An accurate diagnosis can be obtained by the simultaneous measurement of detrusor pressure and uroflow, preferably accompanied by radiographic visualization of the lower urinary tract during micturition. Treatment with bladder neck incision is usually curative, but often results in retrograde ejaculation.

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Authors and Affiliations

  1. Squier Urologic Clinic and the Department of Urology, College of Physicians and Surgeons, Columbia University and the Presbyterian Hospital, 10032, New York, New York, USA

    J. G. Blaivas & L. J. Norlen

Authors
  1. J. G. Blaivas
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  2. L. J. Norlen
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Blaivas, J.G., Norlen, L.J. Primary bladder neck obstruction. World J Urol 2, 191–195 (1984). https://doi.org/10.1007/BF00326999

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  • DOI: https://doi.org/10.1007/BF00326999

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