This protocol addresses male patients who develop non-obliterative bladder neck stenosis (BNS) following surgery for benign prostatic obstruction (BPO). Bladder neck narrowing in this context is a recognised surgical complication requiring targeted urological management.
In men with non-obliterative BNS arising after BPO surgery, current evidence supports an endoscopic approach as the initial intervention — transurethral resection or incision — before considering more definitive options. When the stenosis does not respond adequately to endoscopic management, a further structured approach is indicated.
For bladder neck stenosis that proves refractory to initial treatment, surgical reconstruction of the bladder neck is a recognised next step. The complete protocol specifies the techniques, patient selection criteria, and procedural considerations that guide this decision.