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Bladder Neck Obstruction: Causes, Symptoms, and Diagnosis

Understanding our bodies is the first step toward optimal health, and today, we’re exploring a crucial topic: Bladder Neck Obstruction (BNO).

BNO is more than just a medical term; it’s a condition that impacts daily life, particularly in urological health. 

Whether you’re a patient, a caregiver, or a medical professional, this journey of understanding BNO is for you. Navigating through its challenges, can be tough, which is why knowledge about it is pivotal.

This article explore its causes, identify its symptoms, and exploring the avenues of diagnosis and treatment, ensuring we’re all armed with the information we need to tackle it head-on, especially for those living in Sydney.

Causes of Bladder Neck Obstruction

The bladder neck controls urine flow from the bladder. Keeping this gateway clear and functioning correctly is vital to our comfort and urological health, a matter close to every proficient urologist in Sydney.

Now, what happens when things go awry? 

As experts might say, Bladder Neck Obstruction (BNO) occurs when this gateway is blocked or restricted. A few culprits could be behind this:

  • Congenital disabilities, meaning some of us may be born with an obstruction.
  • Inflammation is when the bladder neck becomes swollen and narrows the passage.
  • Scar tissue formation can happen for various reasons and obstruct normal urine flow.

And it doesn’t just stop there.

Certain medical conditions and surgeries, too, can inadvertently pave the way for BNO, making it a condition that requires comprehensive understanding and exploration, particularly among urologists.

Recognising the Symptoms

Life with Bladder Neck Obstruction (BNO) can throw a few hurdles in your daily routine, urologists in Sydney, particularly highlight these 3 tell-tale symptoms you must look out for:

  • Difficulty Urinating: Imagine constantly struggling whenever you try to go to the bathroom.
  • Frequent Urination: You need to rush there far more often than usual.
  • Pain: And then there’s a persistent, nagging ache in your lower abdomen that doesn’t seem to let up.

It’s important to note – BNO doesn’t express itself in the same way for everyone. Your experiences might look different from someone else’s – it might be a stinging pain for one, an unrelenting urgency to urinate for another. 

Each of these signals isn’t merely an inconvenience; it can become a significant hurdle in daily life, affecting our regular activities and mental peace.

Catching these symptoms early is where the key to better management lies. The sooner you spot and acknowledge these signals, the quicker and more effectively you can move towards solutions – sometimes leading to exploring surgical options like bladder neck incision surgery in Sydney.

Diagnostic Methods of BNO

When it comes to addressing bladder neck obstruction (BNO), there are several diagnostic methods you can discuss with a urologist in Sydney to help determine the most appropriate treatment. Let’s take a closer look at two key diagnostic approaches:

  1. Video Urodynamics: a diagnostic test that assesses how effectively your bladder and the urethra, the tube responsible for transporting urine, perform their respective functions. It provides essential information for your urologist to understand the dynamics of your urinary system.
  2. Cystoscopy: a minimally invasive procedure offering a comprehensive internal view of your bladder, allowing doctors to identify and pinpoint any hidden issues that might be contributing to your BNO. Cystoscopy is a valuable tool for accurate diagnosis and treatment planning.

These diagnostic methods will help you gain a clearer understanding of your condition and develop a tailored treatment plan that best suits your needs with your urologist. 

Bladder Neck Obstruction Treatment in Sydney

There are various treatment options for Bladder Neck Obstruction (BNO) including bladder neck incision surgery in Sydney. To make sure you make the right choice lets get you a better understanding of your choices.


UroLift involves placing tiny, implantable ‘staples’ along the prostate gland tissue, gently moving it away from the urethra to relieve the blockage.


  • It is minimally invasive and typically done under local anesthetic.
  • Often completed in a day visit, boasting no side effects and a high success rate.
  • There are no known associations with sexual issues like erectile dysfunction or retrograde ejaculation.


Rezum employs water vapour therapy to reduce BPH by injecting high-pressure steam into the prostate tissues.


  • Expect a modest improvement in obstructive symptoms after several weeks.
  • A small percentage may experience retrograde ejaculation.

Green Light Laser Ablation of the Prostate

A non-invasive laser treatment vaporising prostate tissue to clear blockage and enhance urine flow.


  • Generally successful for BPH with an average 5-year efficacy.
  • However, it comes with higher rates of retrograde ejaculation.

Transurethral Resection of the Prostate (TURP)

A prevalent therapy involves the removal of a prostate section to alleviate urethra pressure.


  • Typically, patients find TURP successful for over 15 years.
  • Notably, TURP is associated with a high rate of retrograde ejaculation.

Final Words

Are you considering bladder neck incision surgery in Sydney? It’s pivotal to seek guidance from a trusted urologist in Sydney. Remember, your health and well-being are worth that expert consultation. Don’t hesitate

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