{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:36:57Z","timestamp":1773315417573,"version":"3.50.1"},"reference-count":4,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,9,1]],"date-time":"2020-09-01T00:00:00Z","timestamp":1598918400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology Case Reports"],"published-print":{"date-parts":[[2020,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Management of primary bladder neck obstruction (PBNO) in women is difficult. Surgical treatment in the form of bladder neck incision (BNI) is indicated in many cases. There is no defined consensus on the best surgical technique of BNI in women. We present a novel technique of BNI in such cases using pediatric cystoscope and holmium laser, which is a promising alternative to the existing management techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation:<\/jats:title>\n                    <jats:p>A 28-year-old lady complained of obstructive lower urinary tract symptoms. Serum biochemistry revealed azotemia. Further investigation utilizing a micturating cystourethrogram showed a closed bladder neck, and urodynamic studies revealed a high bladder outlet obstruction index suggestive of PBNO. BNI was effectively performed using pediatric cystoscope and holmium laser at 3, 9, and 12 o'clock positions. Postoperatively the patient had improving renal function and clinical improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Use of pediatric cystoscope with holmium laser for BNI in females is a novel technique that offers the advantage of higher maneuverability in the female urethra, precise incision with protection of external sphincter from thermal damage, and avoidance of the complication of vesicovaginal fistula caused by posterior incisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/cren.2019.0172","type":"journal-article","created":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T16:41:32Z","timestamp":1583772092000},"page":"153-155","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Primary Bladder Neck Obstruction in a Young Woman: A Novel Technique of Bladder Neck Incision Using Holmium Laser"],"prefix":"10.1177","volume":"6","author":[{"given":"Pankaj","family":"Panwar","sequence":"first","affiliation":[{"name":"Department of Urology, Uro-Oncology, Robotics and Renal Transplant, Max Group of Hospitals, Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Devanshu","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Urology, Uro-Oncology, Robotics and Renal Transplant, Max Group of Hospitals, Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rakhul","family":"Lekha Raveendran","sequence":"additional","affiliation":[{"name":"Department of Urology, Uro-Oncology, Robotics and Renal Transplant, Max Group of Hospitals, Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anant","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, Uro-Oncology, Robotics and Renal Transplant, Max Group of Hospitals, Delhi, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,17]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1016\/j.urology.2005.05.047","article-title":"Videourodynamic characteristics and lower urinary tract symptoms of female bladder outlet obstruction","volume":"66","author":"Kuo HC","year":"2005","unstructured":"Kuo HC. Videourodynamic characteristics and lower urinary tract symptoms of female bladder outlet obstruction. Urology, 2005; 66:1005\u20131009.","journal-title":"Urology"},{"key":"e_1_3_3_3_2","doi-asserted-by":"crossref","first-page":"2093","DOI":"10.1016\/j.juro.2006.07.031","article-title":"Comparison of diagnostic criteria for female bladder outlet obstruction","volume":"176","author":"Akikwala TV","year":"2006","unstructured":"Akikwala TV, , Fleischman N, , Nitti VW. Comparison of diagnostic criteria for female bladder outlet obstruction. J Urol, 2006; 176:2093\u20132097.","journal-title":"J Urol"},{"key":"e_1_3_3_4_2","first-page":"790","article-title":"Efficacy of transurethral bladder neck incision with 2-micron continuous wave laser (RevoLix) for the management of bladder outlet stricture in women","volume":"10","author":"Sharifiaghdas F","year":"2013","unstructured":"Sharifiaghdas F, , Parizi MK, , Ahadi B. Efficacy of transurethral bladder neck incision with 2-micron continuous wave laser (RevoLix) for the management of bladder outlet stricture in women. Urology, 2013; 10:790\u2013794.","journal-title":"Urology"},{"key":"e_1_3_3_5_2","doi-asserted-by":"crossref","first-page":"2061","DOI":"10.1016\/S0022-5347(05)68101-3","article-title":"Management of functional bladder neck obstruction in women: Use of alpha blockers and pediatric resectoscope for bladder neck incision","volume":"162","author":"Kumar A","year":"1999","unstructured":"Kumar A, , Mandhani A, , Gogoi S, , Srivastava A. Management of functional bladder neck obstruction in women: Use of alpha blockers and pediatric resectoscope for bladder neck incision. J Urol, 1999; 162:2061\u20132065.","journal-title":"J Urol"}],"container-title":["Journal of Endourology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/cren.2019.0172","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cren.2019.0172","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/cren.2019.0172","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T17:25:52Z","timestamp":1773249952000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/cren.2019.0172"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,1]]},"references-count":4,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,9,1]]}},"alternative-id":["10.1089\/cren.2019.0172"],"URL":"https:\/\/doi.org\/10.1089\/cren.2019.0172","relation":{},"ISSN":["2379-9889","2379-9889"],"issn-type":[{"value":"2379-9889","type":"print"},{"value":"2379-9889","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,1]]}}}