Bladder Neck Incision (BNI)

A targeted surgical approach to improve urine flow by relieving bladder neck narrowing, ensuring better bladder emptying and comfort.

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What is Bladder Neck Incision (BNI)?

Bladder Neck Incision (BNI) is a minimally invasive endoscopic procedure used to treat bladder neck obstruction, often caused by scarring, enlarged prostate, or post-surgical changes. By making a small incision in the bladder neck, it allows improved urine flow and reduces urinary symptoms. It is often performed under spinal or general anesthesia and offers faster recovery compared to more invasive surgeries.

Why Bladder Neck Incision is Performed

BNI is recommended for patients with difficulty urinating due to a narrowed bladder neck, often after prostate surgery, trauma, or congenital abnormalities. The goal is to create a permanent channel for urine to flow freely without causing significant damage to the sphincter muscles. This procedure is especially useful for those who have not responded well to medications or less invasive interventions. It can significantly improve quality of life by reducing straining, frequency, and incomplete emptying.

BNI Procedure & Recovery Timeline

1

Pre-Surgery Evaluation

Blood tests, urine analysis, and imaging are performed to confirm the cause of obstruction.

2

Anesthesia Administration

Local, spinal, or general anesthesia is given for a pain-free procedure.

3

Incision of Bladder Neck

A resectoscope is inserted through the urethra, and small incisions are made to widen the bladder neck.

4

Immediate Recovery

Patients are monitored, with a catheter temporarily placed to aid healing.

5

Long-Term Recovery

Most patients resume normal activities within 1–2 weeks, with follow-up visits to ensure proper healing.

Treatment Options for Bladder Neck Obstruction

Bladder Neck Incision (BNI)

Minimally invasive surgery to widen the bladder neck and improve urine flow.

TURP (Transurethral Resection of the Prostate)

Removes part of the prostate to relieve urinary blockage in cases linked to enlarged prostate.

Medical Therapy

Alpha-blockers and other medications to relax bladder neck muscles.

Take the First Step Towards Better Urinary Health

If urinary obstruction is affecting your daily life, BNI could be a safe and effective solution. Consult our experienced urologists to discuss your treatment options.

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