It is unknown whether complications after BNI in adults, such as retrograde ejaculation, reduced sperm count, and bladder neck stricture, will also appear after SBNI in early childhood. In particular, retrograde ejaculation is a concern for these boys who might want to become fathers in the future.
What is a Bladder Neck Incision (BNI)?
This operation involves the telescopic removal or incision of obstructing parts of the
prostate with a heat diathermy device and temporary insertion of a catheter for bladder
Relief of urinary obstruction and improvement of urinary flow.
Before the procedure
Approximately 2 weeks prior to your operation you will be seen and examined in the pre
assessment clinic at the West Suffolk Hospital.
You will be admitted either the day before or on the day of your surgery. After admission
you will meet your anaesthetist who will discuss your anaesthetic needs with you. You will
also see a member of the urology team.
You will be asked not to eat for 6 hours before surgery. However, you may drink water
only up to 3 hours prior to your surgery.
During the operation
The operation will be performed using either a full general or spinal anaesthetic. If a
general anaesthetic is used you will be asleep for the whole operation. During a spinal
anaesthetic you will be awake but will have no sensation or pain below the waist.
After telescopic incision of the bladder neck, a catheter will be inserted and your bladder
will be irrigated with fluid.
After the operation
Your urine may be heavily blood stained.
A continuous irrigation will be maintained overnight and will usually be removed the
following morning. The catheter will be removed when the urine is clear, usually 2-3 days
after your operation.
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