Bladder neck reconstruction, or plastic reconstruction at the bladder neck, is performed in patients with pronounced scar-related narrowing of the bladder neck.

The causes can be both congenital and acquired, for example, as a result of inflammations or frequently after prostate treatments, such as surgeries or radiation.

Scar tissue in this area can narrow the bladder outlet and impair urine flow, leading to difficulties during urination, residual urine, urinary tract infections, stone formation, and ultimately the loss of bladder and kidney function.

This method is used as a so-called second-line therapy when endoscopic treatment (incision through the urethra) is not successful.

Da-Vinci bladder neck reconstruction is a robot-assisted, minimally invasive keyhole surgery requiring special surgical expertise. Instruments are inserted under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.

During the surgery, disturbing scars at the bladder neck are removed, a new connection of the healthy tissue of the bladder with the urethra is established, and a bladder catheter is inserted for healing.

The success of the operation depends on the team’s experience and specific patient data.

Every surgery carries risks such as bleeding during or after the operation, damage to adjacent organs, or problems with wound healing.

Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.

Possible side effects include urinary retention, urinary tract infections, or renewed scarring. Involuntary urine loss or erectile dysfunction depends on the degree of scarring and is rather rare.

After the surgery, which aims to restore normal urine flow, continuous monitoring of urination is essential. Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.