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Burning and frequent urination. Cystoscopy shows high bladder neck. Next step?

Hello Doctor, I am vijay, age 29. Recently i had burning sensation while urinating, frequent urination and some time after urinating i get few drops coming later. I checked in Apollo hospitals while Abdomenal scans were normal, urine and blood test were normal, Uroflow study showed a max flow rate of 11ml/sec. Later doctor suggsted to go for cystoscopy and said my bladder neck was high.. what should be the next step?
Asked On : Fri, 26 Apr 2013
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General & Family Physician 's  Response
Hello and welcome to HCM.

Thank you for your query.

Once the diagnosis of a high bladder neck or primary bladder neck obstruction has been confirmed we then move on to the treatment. Which is divided into:
-Medical management: Alpha blockers have been found to be the mainstay of treatment
-Surgical management: Transurethral incision of bladder neck

Either of these treatment options can be initiated. I would advice the initiation of medical treatment followed by the surgical option, if the desired results are not obtained.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
Answered: Fri, 26 Apr 2013
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