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What is contracture of bladder neck?

What is contracture of bladder neck?

It occurs when there is excessive scarring at the level of the bladder opening (bladder neck). Bladder neck contracture will typically cause narrowing of the urinary tract resulting in slow urinary stream, difficulty emptying the bladder, and other urinary symptoms. It can even result in urinary incontinence.

What is the CPT code for transurethral incision of bladder neck contracture?

For a postoperative bladder neck contracture such as after a TURP, 52601, report 52640, transurethral resection of postoperative bladder neck, 52640-52 incisions only at the bladder neck, or 55214, laser incisions of the bladder neck.

What is transurethral resection of bladder neck?

A surgical procedure called a transurethral incision may be performed to relieve symptoms of bladder neck contracture. It is performed while the patient is under anesthesia. A resectoscope (a type of cystoscope) is inserted through the urethra to allow the surgeon to visualize the bladder neck.

What is the bladder neck?

The bladder neck is a group of muscles that connect the bladder to the urethra. The muscles tighten to hold urine in the bladder, and relax to release it through the urethra. Urinary problems occur when abnormalities block the bladder neck and prevent it from opening completely during urination.

Is bladder neck incision painful?

You will feel a stinging pain the first few times you pass urine. Do not do strenuous exercise during this time. After 2 weeks build up your activity level gradually. You should be able to return to work after 2 to 3 weeks, depending on your type of work.

What causes tight bladder neck?

Tight Bladder neck is a functional obstruction caused by abnormal opening of the bladder neck during the voiding phase of micturition.

How long does it take to recover from bladder neck incision?

Most patients require a recovery period of 2-3 weeks at home before they feel ready for work. We recommend 3-4 weeks’ rest before resuming any job, especially If it is physically strenuous and you should avoid any heavy lifting during this time.

How is bladder neck incision done?

Your surgeon will place a resectoscope (a small operating telescope) into your urethra. They will make small cuts in the neck of your bladder where the prostate is restricting the flow of urine. This will open the neck of your bladder to relieve the pressure and improve the flow.

What can I expect after bladder and neck surgery?

What happens immediately after the procedure? There is always some bleeding from the prostate area after the operation. The urine is usually clear of blood within 12 hours, although some patients lose blood for longer. It is unusual to require a blood transfusion after laser surgery.

Is bladder neck blockage curable?

Bladder outlet obstruction (BOO) occurs when there is a blockage at the base or neck of the bladder that reduces or stops the flow of urine into the urethra. Long-term treatment requires surgery.

Should I have a bladder neck incision?

The advantages of bladder neck incision procedure are: The surgery eases the pressure on the bladder. The surgery corrects the conditions such as difficulty in passing urine and urine leakage. It also addresses uneven urination problems such as frequent urination or less urination.

How long does a bladder neck incision last?

The operation, on average, takes 10-20 minutes. You will usually be given an injectable antibiotic before the procedure after checking for any drug allergies. The cautery blade is used to incise through any tight areas in the bladder outlet and prostate.