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Bladder Outlet / Neck Obstruction (BOO / BNO)
BOO / BNO is a blockage at the base or neck of the bladder which reduces or stops the flow of urine.
Causes
- Mootravegadharana (Neglecting the urge of urine)
- BPH
- Bladder Neck Hypertrophy/stenosis
- Urethral Stricture
- Bladder stones
- Prostate cancer
- Tumors of rectum, uterus or cervix
- Functional Bladder Neck obstruction
Symptoms
- Dysuria
- Hesitancy
- Constant urge
- Incomplete emptying
- Frequency & Nocturia
- Intermittency
- Reduced flow of urine
- Pelvic pain
- Void often with a small volume
Investigations
- USG
- Uroflowmetry
- Urodynamic study (UDS)
- Ascending urethrogram
- Cysto-urethroscopy
Modern Urological treatment
- Alpha-Blockers
- Terazosin
- Doxazosin
- Tamsulosin
- Alfuzosin
- Silodosin
- 5-Alpha reductase inhibitor
- Finasteride
- Dutasteride
- Botulinum (Botox) toxin injection therapy
- Bladder neck incision
Ayurvedic Urological treatment
- Uttarbasti
- Bladder wash
- Basti
- Oral medication
- Yoga & Pranayama
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