Bladder Outlet ObstructionSymptoms, Doctors, Treatments, Advances & More
Learn About Bladder Outlet Obstruction
Bladder outlet obstruction (BOO) is a blockage at the base of the bladder. It reduces or stops the flow of urine into the urethra. The urethra is the tube that carries urine out of the body.
BOO; Lower urinary tract obstruction; Prostatism; Urinary retention - BOO
This condition is common in aging men. It is often caused by an enlarged prostate. Bladder stones and bladder cancer are also more commonly seen in men than women. As a man ages, the chances of getting these diseases increase greatly.
Other common causes of BOO include:
- Pelvic tumors (cervix, prostate, uterus, rectum)
- Narrowing of the tube that carries urine out of the body from the bladder (urethra), due to scar tissue or certain birth defects
Less common causes include:
- Cystocele (when the bladder falls into the vagina)
- Foreign objects in the bladder or urethra
- Urethral or pelvic muscle spasms
- Inguinal (groin) hernia
The symptoms of BOO may vary, but can include:
- Abdominal pain
- Continuous feeling of a full bladder
- Frequent urination
- Pain during urination (dysuria)
- Problems starting urination (urinary hesitancy)
- Slow, uneven urine flow, at times being unable to urinate
- Straining to urinate
- Urinary tract infection
- Waking up at night to urinate (nocturia)
- Urinary incontinence
Treatment of BOO depends on its cause. A tube, called a catheter, is inserted into the bladder through the urethra. This is done to relieve the blockage.
Sometimes, a catheter is placed through the belly area into the bladder to drain the bladder. This is called a suprapubic tube.
Most often, you will need surgery for long-term cure of BOO. However, many of the diseases that cause this problem can be treated with medicines. Talk to your provider about possible treatments.
Northwell Health Physician Partners At Syosset
Dr. Bilal Chughtai, Chief of Urology at Plainview Hospital, completed his medical degree at Stony Brook University, followed by residency in urologic surgery at Albany Medical Center. He completed his fellowship in Male Voiding Dysfunction, Neuro-Urology, Female Pelvic Medicine Reconstructive Surgery at Memorial Sloan-Kettering Cancer Center and New York Presbyterian Hospital/Weill Cornell Medical College in New York City.Dr. Chughtai specializes in Female Pelvic Medicine and Reconstructive Surgery and Male Voiding Dysfunction. He maintains a deep, longitudinal interest in these highly prevalent and debilitating conditions and has focused both his clinical, research, and teaching activities on these areas.Dr. Chughtai's mentorship in clinical and basic science research projects has enabled his team to be investigators in numerous clinical trials, as well as translational, and outcomes research including National Institute of Health and industry support. He has authored over 300 peer-reviewed articles, chapters in urologic texts, 4 textbooks, and has presented extensively at national and international meetings. Dr. Chughtai is rated as an Elite provider by MediFind in the treatment of Bladder Outlet Obstruction. He is also highly rated in 18 other conditions, according to our data. His clinical expertise encompasses Enlarged Prostate (BPH), Urinary Incontinence, Stress Urinary Incontinence, Aquablation, and Prostatectomy. Dr. Chughtai is board certified in American Board Of Urology and American Board Of Urology/Urogynecology And Reconstructive Pelvic Surgery.
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Craig Comiter is a Urologist practicing medicine in Redwood City, California. Dr. Comiter is rated as an Elite provider by MediFind in the treatment of Bladder Outlet Obstruction. He is also highly rated in 37 other conditions, according to our data. His clinical expertise encompasses Urinary Incontinence, Bladder Outlet Obstruction, Frequent or Urgent Urination, Sacral Nerve Stimulation, and Aquablation.
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Victor Nitti is a Urologist practicing medicine in Los Angeles, California. Dr. Nitti is rated as an Elite provider by MediFind in the treatment of Bladder Outlet Obstruction. He is also highly rated in 13 other conditions, according to our data. His clinical expertise encompasses Urinary Incontinence, Stress Urinary Incontinence, Bladder Outlet Obstruction, Ureteral Reconstruction, and Bladder Reconstruction.
Most causes of BOO can be cured if diagnosed early. However, if the diagnosis or treatment is delayed, this can cause permanent damage to the bladder or kidneys.
Contact your provider if you have symptoms of BOO.
Summary: The purpose of the study is to study the outcomes of maternal and fetal patients who are undergoing fetal intervention for severe isolated lower urinary tract obstruction (LUTO).
Summary: Congenital lower urinary tract obstruction (LUTO) is a heterogeneous group of congenital anomalies that lead bladder outlet obstruction. If a complete obstruction is present, the perinatal mortality is estimated to be as high as 90% because of severe pulmonary hypoplasia due to the lack of amniotic fluid. Survivors have significant risk of renal impairment (90%) requiring dialysis or renal transpl...
Published Date: May 17, 2024
Published By: Sovrin M. Shah, MD, Associate Professor, Department of Urology, The Icahn School of Medicine at Mount Sinai, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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Berney D. Urinary and male genital tracts. In: Cross SS, ed. Underwood's Pathology. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 20.
Boone TB, Stewart JN, Martinez LM. Additional therapies for storage and emptying failure. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 127.
Capogrosso P, Salonia A, Montorsi F. Evaluation and nonsurgical management of benign prostatic hyperplasia. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021:chap 145.