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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.  Dr Elmes uses the latest and most advanced Laser for this procedure to ensure excellent outcomes for patients and improve their quality of life post procedure. 


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 approximately 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 out of hospital in one day depending on their recovery. 

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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

  • Pain relief is provided if required post operatively 

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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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