Commentary to “Effect of Botox injection at the bladder neck in boys with bladder dysfunction after valve ablation”

The article by Mokhless et al. [1], while offering an earnest effort, far from settles the debate regarding whether or not bladder neck hypertrophy in boys with a history of posterior urethral valves (PUVs) is an obstructive condition harming bladder function and preventing resolution of already existing bladder dysfunction. We are told that all 20 boys in the study had bladder neck hypertrophy as determined by cystoscopy and none had any residual valve or stricture; however, the authors avoided using the term secondary bladder neck obstruction (BNO) maybe because they wanted to avoid any suggestion that these bladder necks were obstructive to the outflow of urine before sharing their results or making their conclusions.

Source: Journal of Pediatric Urology - March 14, 2015 Category: Urology & Nephrology Authors: Abdol-Mohammad Kajbafzadeh, Sorena Keihani, Kenneth I. Glassberg Tags: Letter to the Editor Source Type: research