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Case Reports in Transplantation
Volume 2015 (2015), Article ID 312084, 4 pages
http://dx.doi.org/10.1155/2015/312084
Case Report

Transurethral Incision of the Bladder Neck in a Woman with Primary Bladder Neck Obstruction after Kidney Transplantation

1Department of Urology, University Hospital Rijeka, 51000 Rijeka, Croatia
2Department of Nephrology and Dialysis, University Hospital Rijeka, 51000 Rijeka, Croatia

Received 8 February 2015; Accepted 1 March 2015

Academic Editor: Marian Klinger

Copyright © 2015 Dean Markić et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o’clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient.