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Laser Bladder Neck incision 

Bladder neck incision (BNI) is a common minimally invasive treatment option for bladder outflow obstruction which involves lasering through the neck of your bladder to allow you to pass urine more easily and with a better stream.


This involves telescopic laser incision through the prostate and bladder outlet to widen the urinary channel. A general anaesthetic is used and the procedure generally takes 15-30 minutes depending on each patients prostate size. 


Removing the obstruction improves urine flow and associated symptoms and prevents complications such as complete blockage, urine infections, bladder stones and kidney damage.

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Patients are usually admitted for a day procedure as it it's a short procedure of approximately  y out of hospital in one day depending on their recovery. you are given an anaesthetic 

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EXPECT

  • There is always some bleeding from the prostate after the procedure. Blood in the urine can last up to 2-4 weeks post your procedure, longer if you take blood thinning medication 

  • The catheter is generally removed on the morning after surgery. The expected hospital stay is no more than one night

 

WHAT TO DO

  • Drink plenty of fluid

  • Take Ural for the first 2-3 days if you have penile pain during urination. This helps make your urine more like water and less like lemon juice (maximum sachets a day is 4)

  • Movicol is available from your local pharmacy – used to avoid constipation

  • Oxytrol/Vesicare patch - This is used if you have bothersome urgency and frequency, night-time urination incontinence/or penile tip pain. These can be used a maximum of 2 patches at any one time. Side effects: dry mouth, constipation, dry eyes, forgetfulness and rarely urinary retention

  • Endone – prescribed strong pain relieving drug. Side effects: dry mouth, constipation, nausea/vomiting, dizziness, light headed (do not drive if affected)

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AVOID

  • Straining/strenuous activity and constipation for 4 weeks

  • Driving long distance within first week

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Inform Dr Elmes’ rooms or admit to the John Flynn Hospital Emergency department if:

  • Unable to urinate

  • Heavy continuous bleeding +/- clots

  • Fevers/unwell

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