Ejaculation Sparing Bladder Neck Incision for Young Men With Primary Bladder Neck Obstruction

OBJECTIVES: To evaluate clinical and ejaculatory outcomes following ejaculation-sparing bladder neck incision (ESBNI) in young men with primary bladder neck obstruction (PBNO). METHODS: ), and other key clinical outcomes including complications. Non-parametric statistical tests were used. RESULTS: was 9 mL/s. Higher Bladder Outflow Obstruction Index and Detrusor Contraction Index (ICS-DCI) were associated with improved postoperative flow, while ejaculatory function was positively associated with DCI. Three patients required redo surgery. Complications were minimal. CONCLUSIONS: Ejaculation-sparing bladder neck incision is a safe and effective surgical option for young men with videourodynamically-confirmed PBNO, providing meaningful improvement in urinary flow with reliable preservation of ejaculation.