title: Transurethral incision of the bladder neck in a woman with primary bladder neck obstruction after kidney transplantation.
abstract: Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o'clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient.
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Dean
authors: D
authors: Markić
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Maksim
authors: M
authors: Valenčić
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Anton
authors: A
authors: Maričić
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Kristian
authors: K
authors: Krpina
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Dražen
authors: D
authors: Rahelić
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Juraj
authors: J
authors: Ahel
authors: Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Nino
authors: N
authors: Rubinić
authors: Department of Nephrology and Dialysis, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Lidija
authors: L
authors: Orlić
authors: Department of Nephrology and Dialysis, University Hospital Rijeka, 51000 Rijeka, Croatia.
authors: Sanjin
authors: S
authors: Rački