Le Normand L
Hôtel-Dieu, Nantes, France.
Prog Urol. 1999 Feb;9(1):142-5.
The objective of these clinical case reports is to illustrate the value of urodynamic studies in the therapeutic decision for patients with benign prostatic hyperplasia, but whose vesico-sphincteric equilibrium may also be modified by other concomitant diseases. Three cases illustrate comparable clinical situations, but with very different vesico-sphincteric behaviour. Urodynamic studies are able to globally characterize the patient's vesico-sphincteric behaviour. Unlike clinical assessment alone, the results of urodynamic studies guide the choice of treatment, designed to modify this equilibrium in the desired direction.
Before proposing desobstruction surgery in dysuric patients with benign prostatic hyperplasia, as well as concomitant disease likely to modify his vesico-sphincteric behaviour, urodynamic studies are very useful, as they can modify the therapeutic decision.
这些临床病例报告的目的是说明尿动力学研究在良性前列腺增生患者治疗决策中的价值，这些患者的膀胱括约肌平衡也可能因其他伴随疾病而改变。三个病例说明了类似的临床情况，但膀胱括约肌行为却大不相同。尿动力学研究能够全面描述患者的膀胱括约肌行为。与单纯的临床评估不同，尿动力学研究结果指导治疗选择，旨在将这种平衡朝着期望的方向改变。
在对有排尿困难的良性前列腺增生患者以及可能改变其膀胱括约肌行为的伴随疾病患者建议解除梗阻手术之前，尿动力学研究非常有用，因为它们可以改变治疗决策。
