Anomalies of the Bladder Neck and Other Obstructions

Abstract

Renal preservation is the primary objective in management of urinary obstruction. Congenital anomalies of the bladder neck are the most common cause. Early recognition and prompt treatment are essential. Vesicoureteral reflux is an inevitable complication and must be controlled adequately. Transurethral or open surgical removal of obstructive lesions, urethral dilation and measures to combat infection are the recognized forms of treatment. Urinary diversion may be necessary in extreme cases.