Bladder Neck Incision in London
Bladder neck incision, also known as BNI, is a minimally invasive procedure that can improve urine flow when there is a blockage at the outlet of the bladder. It may be suitable for men with a smaller prostate or a bladder neck that is too tight to open properly.
Rather than removing prostate tissue, the procedure makes one or two small cuts to widen the outlet and allow urine to pass more freely. For suitable men, it can offer an effective alternative to more extensive prostate surgery.
What is a bladder neck incision?
A bladder neck incision, or BNI, may also be called transurethral incision of the prostate, abbreviated to TUIP. It is a procedure used to improve urine flow where the bladder joins the urethra, the tube that carries urine out of the body.
Instead of removing prostate tissue, the surgeon makes one or two small cuts in the bladder neck. This helps the outlet open more easily and can reduce blockage to the flow of urine.
BNI is generally most suitable for men with urinary symptoms caused by a relatively small prostate or a tight bladder neck. It may be considered when symptoms such as a weak stream, difficulty starting urination, straining or incomplete emptying are affecting daily life.
The procedure is performed through the urethra, so there are no cuts on the outside of the body. It is carried out under anaesthetic, and a temporary catheter is usually needed afterwards.
Why it can be a good fit
Bladder neck incision has particular advantages when assessment shows that it is the appropriate treatment.
Targeted relief
The procedure widens the bladder outlet directly to help improve urine flow and reduce symptoms caused by obstruction.
Minimally invasive approach
BNI is performed through the urethra, without an external incision or removal of prostate tissue.
More likely to preserve ejaculation
Compared with some more extensive prostate procedures, BNI may have a lower risk of retrograde ejaculation. This is when semen travels backwards into the bladder during orgasm. However, this remains a possible side effect and cannot be guaranteed.
Who bladder neck incision may suit
Bladder neck incision may be considered for men who:
- Have urinary symptoms caused by bladder outlet obstruction
- Have a relatively small prostate or a tight bladder neck
- Experience a weak stream, hesitancy, straining or incomplete bladder emptying
- Have not had enough improvement with conservative measures or medication
- Would like to discuss options that take ejaculation into account
- Have been assessed as suitable following appropriate tests
What to expect
- Assessment
Your consultant will discuss your symptoms, medical history and treatment priorities. You may have tests such as a urine flow test, bladder scan, examination and assessment of prostate size to establish whether BNI is suitable. - The procedure
BNI is carried out under anaesthetic. Your surgeon passes a narrow instrument through the urethra and makes one or two small incisions in the bladder neck to improve the passage for urine. There are no external cuts. - Recovery
A catheter is usually used for a short time after the procedure. Your consultant will explain your recovery plan, including possible short-term urinary symptoms, activity advice and follow-up arrangements.
Why choose The Forbury Clinic for bladder neck incision in London?
A targeted approach
BNI can relieve bladder outlet obstruction without removing prostate tissue, when assessment shows it is suitable.
Minimally invasive treatment
The procedure is performed through the urethra without an external incision.
Clear discussion of sexual side effects
Your consultant will discuss the possible effects on ejaculation and sexual function alongside the expected improvement in urinary symptoms.
Consultant-led care in London
You will be assessed by a consultant urologist at The Forbury Clinic, 45 Queen Anne St, London W1G 9JF.
Frequently asked questions
How is bladder neck incision different from TURP?
TURP removes prostate tissue to improve urine flow and may be more appropriate for men with a larger prostate. BNI uses one or two small cuts to widen the bladder outlet without removing tissue. It is usually considered for men with a smaller prostate or a tight bladder neck.
Will bladder neck incision affect ejaculation?
BNI may have a lower likelihood of affecting ejaculation than more extensive prostate surgery. However, retrograde ejaculation can still occur, so your consultant will discuss this risk in relation to your own circumstances.
Is bladder neck incision a major operation?
It is a minimally invasive procedure carried out through the urethra, with no external incisions. It is performed under anaesthetic, and you may go home the same day or have a short hospital stay depending on your individual circumstances.
How soon will I notice an improvement?
Some men notice a better urine flow after the initial recovery period and removal of the catheter. Recovery and symptom improvement vary, and your consultant will provide individual guidance.
Will I need further treatment in the future?
This depends on the cause of the blockage and your individual response to treatment. In some cases, symptoms can return and further treatment may be needed. Your consultant will explain the likely considerations before you decide to proceed.
Discuss bladder neck incision
If urinary symptoms are linked to a smaller prostate or a tight bladder neck, a consultant assessment can help establish whether BNI may be an appropriate option.
- AppointmentBook a consultation
- Reception0118 920 7055
- Location
The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J
