Recuurence chances of High bladder neck - #11725

Hello sir Bni or bladder neck incision surgery is a type of non invasive surgery Usually done to remove bladder construction to ease micturition Comparatively it is quite safe However some precautions are must Kindly follow them for atleast 1-2 months post operative after surgery Avoid heavy meals Avoid doing strenuous exercise Take simple diet Avoid alcohol or smoking Avoid high fibre and protein diet Complications that can occur are Bleeding rarely Infection Urinary incontinence However the precautions taken can reduce the chances of complications However if you still face any other problem consult urologist in person for better clarification Regards

Hi Ramlal,

According to your queries I will answer; Can scarring recur? - Yes 10-30% Is BNI successfull? - Yes almost 90% cases are success. Especially your age 47, relatively young for BNI so with proper care , long term success can be expected. For long term outcome; -Avoid straining -Keep hydrated -Avoid alcohol,tea,coffee,smoking -Eat more fruits,fibre -Regular follow up with your doctor

I hope this clears your doubts. Feel free to talk Thank you

Hello Ramlal Ji, I understand your concern and let me clarify your doubts:

Success rate: BNI is generally effective in 80–90% of patients for long-term relief.

Recurrence: In a small percentage (10–15% cases), scar tissue can reform at the bladder neck, leading to similar symptoms again (poor stream, frequency, incomplete emptying).

Recurrence risk is higher if there is excessive scarring tendency, untreated prostate enlargement, or chronic infection.

To Reduce Chances of Recurrence -

1. Regular follow-up with your urologist (usually 3–6 months initially, then yearly). 2. Urine culture check if you develop burning/frequency — treat infections early. 3. Lifestyle tips: Drink 2–3 L water daily. Avoid smoking and excessive alcohol. Don’t hold urine for too long.

4. Medications can be prescribed but it will be better for you if you get a prescription from your operation surgeon. 5. Monitor symptoms: Weak flow, straining, or recurrent UTIs should be reported early.

Feel free to reach out again.

Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med

Recurrence of symptoms after bladder neck incision (BNI) surgery can happen, though the rate isn’t very high. Generally, BNI has a good success rate with improvement in symptoms like urinary obstruction and retention. Success rates vary but can be around 70-90%, depending on factors like the underlying cause of the high bladder neck and individual patient conditions. For instance, if the initial cause was congenital, the success might be higher than cases related to secondary factors like inflammation. Recurrence of symptoms might happen due to scar tissue formation or less commonly, inadequate initial surgery. Recurrence rates vary, potentially occurring in around 10-15% of cases. To minimize the chances of recurrence, ensuring a comprehensive follow-up plan with your healthcare provider is key. This includes regular check-ups to monitor for any signs of obstruction, adherence to post-surgery care instructions, and lifestyle modifications such as maintaining proper hydration and perhaps avoiding bladder irritants like caffeine or nicotine. For specific guidance, your urologist’s recommendations based on your unique post-operative situation will be crucial. If symptoms do reappear, or you experience things like difficulty urinating, pain, or frequent UTIs, early consultation with your doctor can help manage or rectify issues before they become significant.