Dr Sania Saher , Dr.Maha Ijaz, Dr Fiza Fatima
Aim: TUR has been identified as the preferred treatment to remove bladder outlet obstruction in men, but bladder neck incision (BNI) is an acceptable alternative when the gland is small. The aim of this study is to determine the efficacy of bladder neck incision versus transurethral resection of the prostate to relieve bladder outlet obstruction. Place and |Duration: In the Urology Unit II of Jinnah Hospital Lahore for one-year duration from January 2019 to January 2020. Methods: 60 BNI / TUR cases were investigated (BNI = 35, TUR = 25). BNI was operated when the glands were less than 30 g and no malignancy was clinically suspected. The technique of our single incision is given. In BNI, the catheter's durability was shorter, and the result was satisfactory in terms of less infection, much lower need for blood transfusion, and need for control and additional surgery. BNI is technically simpler than TUR and is easy to learn and learn. Results and Conclusion: Our results show that it is safe and effective for patients with acute retention, as well as those who are treated electrically, and is the preferred surgery for small benign prostate. In larger glands, BNI may not be desirable. In paired cases, this method provides better results and fewer complications than standard transurethral resection. Key Words: transurethral resection, bladder neck incision, prostate.