{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T21:20:25Z","timestamp":1782940825612,"version":"3.54.5"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T00:00:00Z","timestamp":1735257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Primary bladder neck obstruction (PBNO) is a rare but significant cause of BOO and LUTS in females, with unclear etiology involving theories of fibrotic narrowing, tissue hyperplasia, or muscle abnormalities. Due to nonspecific symptoms, PBNO diagnosis remains challenging, and optimal surgical treatment needs to be better defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We report two cases of females in their 50s with recurrent urinary retention managed by indwelling catheters. The first, aged 58, experienced worsening LUTS over five months, requiring catheter use for two months. The second, aged 50, had persistent voiding difficulty and failed previous catheter trials. Both lacked a history of trauma, pelvic surgery, or significant comorbidities. Cystoscopy revealed bladder neck obstruction with moderate trabeculation of the detrusor muscle. Transurethral resection of the bladder neck (TURBN) was performed circumferentially. Postoperatively, both patients showed marked improvement, with uroflowmetry demonstrating maximum flow rates of 10.7 mL\/s and 9.4 mL\/s and minimal residual volumes. No incontinence or other complications were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>PBNO in females is underdiagnosed due to nonspecific presentations. Structural abnormalities and potential neurogenic factors are implicated in its pathophysiology. In our cases, TURBN effectively improved voiding function, underscoring its role for patients unresponsive to conservative therapy. However, data on long-term outcomes and risks, such as stress urinary incontinence, remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>TURBN is a promising treatment for female PBNO, offering symptom relief and improved voiding function. Continued research is needed to refine techniques and develop evidence-based guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110799","type":"journal-article","created":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T12:14:21Z","timestamp":1735560861000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Primary bladder neck obstruction in females: Case series from the Indonesian population"],"prefix":"10.1097","volume":"126","author":[{"given":"Adelia Anggasta","family":"Adzhani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetuka Bagus","family":"Laksita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan","family":"Renaldo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"2-3","key":"R1-149-20260508","first-page":"53","article-title":"Primary bladder neck obstruction","volume":"21","author":"Sussman","year":"2019","journal-title":"Rev. Urol."},{"issue":"3","key":"R2-149-20260508","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0248938","article-title":"Severe urinary tract damage secondary to primary bladder neck obstruction in women","volume":"16","author":"Freitas","year":"2021","journal-title":"PLoS One"},{"issue":"no. 1","key":"R4-149-20260508","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1111\/luts.12196","article-title":"Female bladder outlet obstruction: common symptoms masking an uncommon cause","volume":"11","author":"Malde","year":"2019","journal-title":"LUTS Low. Urin. Tract Symptoms"},{"issue":"5","key":"R5-149-20260508","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int. J. Surg."},{"issue":"1","key":"R6-149-20260508","first-page":"49","article-title":"Primary bladder neck obstruction in men and women","volume":"7","author":"Nitti","year":"2005","journal-title":"Rev. Urol."},{"issue":"3","key":"R7-149-20260508","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0248938","article-title":"Severe urinary tract damage secondary to primary bladder neck obstruction in women","volume":"16","author":"Freitas","year":"2021","journal-title":"PLoS One"},{"issue":"1","key":"R8-149-20260508","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1097\/SPV.0b013e31827d87cc","article-title":"Comparison of urodynamic findings in women with anatomical versus functional bladder outlet obstruction","volume":"19","author":"Brucker","year":"2013","journal-title":"Female Pelvic Med. Reconstr. Surg."},{"issue":"2-3","key":"R9-149-20260508","first-page":"53","article-title":"Primary bladder neck obstruction","volume":"21","author":"Blaivas dan","year":"2019","journal-title":"Rev. Urol."},{"issue":"3","key":"R10-149-20260508","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1097\/01.ju.0000112929.34864.2c","article-title":"Treatment of primary bladder neck obstruction in women with transurethral resection of the bladder neck","volume":"171","author":"Blaivas","year":"2004","journal-title":"J. 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Equity Health"},{"issue":"1","key":"R14-149-20260508","first-page":"1433","article-title":"Health-seeking behavior and barriers to accessing care in Indonesia: a systematic review","volume":"19","author":"Suraya","year":"2019","journal-title":"BMC Public Health"},{"key":"R15-149-20260508","first-page":"24","article-title":"Cultural influences on perceptions and management of urinary symptoms in women","volume":"158","author":"Nguyen","year":"2021","journal-title":"Urology"},{"issue":"1","key":"R16-149-20260508","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.urology.2012.04.011","article-title":"Urodynamic differences between dysfunctional voiding and primary bladder neck obstruction in women","volume":"80","author":"Brucker","year":"2012","journal-title":"Urology"},{"issue":"6","key":"R17-149-20260508","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1111\/iju.13085","article-title":"Controlled transurethral resection and incision of the bladder neck to treat female primary bladder neck obstruction: description of a novel surgical procedure","volume":"23","author":"Shen","year":"2016","journal-title":"Int. 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