How is contracture of the bladder neck treated?
The contracture may be treated by dilation, a nonsurgical procedure that can be performed in a doctor’s office. Tubes of increasing diameter are inserted through the urethra so that the opening can be gradually widened (dilated) to allow a urinary catheter to be inserted to drain urine from the bladder.
A surgical procedure called a transurethral incision may be performed to relieve symptoms of bladder neck contracture. It is performed while the patient is under anesthesia. A resectoscope (a type of cystoscope) is inserted through the urethra to allow the surgeon to visualize the bladder neck. Using the cystoscope, tiny incisions can be made in the bladder neck to open it so that the urine can flow more easily out of the bladder.