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Bladder Neck Resection (M4480)

  • Length of surgery:

    1 hrs

  • Anaesthetic:

    General Anaesthetic

  • Hospital stay :

    1 night (In-patient)

  • Time off work :

    3-5 days

  • Time off exercise:

    3 weeks

  • Time to fully settle :
    3 months
  • Post-op care:

    A urethral catheter is typically left in place for 3-5 days following the procedure and then removed.

    After catheter removal, you may experience mild stinging or a sense of urgency during urination for 24–48 hours. A small amount of blood in the urine is common and usually settles within a couple of days. Drinking plenty of fluids can help flush the bladder and reduce discomfort.

    In rare cases, difficulty emptying the bladder may occur, requiring temporary self-catheterisation. If you experience fever, significant pain, or are unable to pass urine, please contact the clinic promptly.

    Urinary incontinence may worsen after the obstruction is released. This is often due to unmasking of underlying sphincter weakness that had previously been compensated for by the stricture.

    A follow-up cystoscopy at 3 months is performed to assess healing and check for any recurrence of bladder neck contracture.

Bladder Neck Resection (BNR) is an endoscopic procedure performed to remove obstructing tissue or foreign material—most commonly eroded haem-o-lok clips—at the site of the bladder neck following radical prostatectomy. These clips can migrate into the urethral lumen and cause scarring, inflammation, or obstruction, preventing continence device placement.

This procedure is often a necessary preparatory step before implantation of an Artificial Urinary Sphincter (AMS 800), to ensure the urethral pathway is clear and suitable for AMS 800 placement.

A urethral catheter is typically left in place for 2–3 days post-operatively. Patients are followed up to assess healing and readiness for definitive continence surgery.

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