An Objective Comparison of Transurethral Resection and Bladder Neck Incision in the Treatment of Prostatic Hypertrophy

Abstract

Transurethral resection has become the operation of choice in almost all cases of benign prostatic enlargement. When the gland does not exceed 30 g bladder neck incision is easier to perform, results in a lower morbidity, and is less likely to be followed by incontinence and retrograde ejaculation. Two groups of men with proved obstruction were studied. Complete urodynamic investigation was done on 51 patients before and on 44 patients after the operation. The subjective and objective findings were compared in the 2 groups. Apparently, bladder neck incision is as effective as transurethral resection in relieving the obstruction of prostatic enlargement in the presence of a small gland.