Jülke M, Schmid R, Thalmann C, Enzler M, Knönagel H, Schwarz H
Chirurgische, Abteilung, Spital Limmattal, Schlieren.
Helv Chir Acta. 1992 Aug;59(2):331-4.
We examined 56 patients with hernias and 49 patients with other diseases prior to operation. They were all above 50 years of age. The urological screening examination included the patients history of the frequency of urination during night and day time, dysuria, the common risk factors (smoking, coughing, obstipation), obesity, a sonographic measurement of the prostate diameters, a sonographic evaluation of residual urine and the determination of the urinary flow rate. None of the above parameters showed a significant difference between the two groups. Surprisingly more than 60% of all men showed a pathological voiding function (either residual urine and/or a pathological flow rate). Our conclusions are: 1. Patients with inguinal hernias do not show a greater incidence of pathological bladder function than patients of the control group. The benign prostatic hypertrophy as a risk factor for the development of inguinal hernias is most questionable. 2. Because the results showed no significant difference between the two groups, a determination of residual urine prior to operation is not necessary. 3. More than 60% of the men above 50 years showed a pathological voiding function. We recommend a urological screening test for all men above 50 years of age during hospitalisation.
我们在手术前检查了56例疝气患者和49例患有其他疾病的患者。他们均年龄超过50岁。泌尿外科筛查检查包括患者白天和夜间排尿频率的病史、排尿困难、常见危险因素（吸烟、咳嗽、便秘）、肥胖、前列腺直径的超声测量、残余尿量的超声评估以及尿流率的测定。上述参数在两组之间均未显示出显著差异。令人惊讶的是，超过60%的男性表现出病理性排尿功能（残余尿量和/或病理性尿流率）。我们的结论是：1.腹股沟疝患者的病理性膀胱功能发生率并不高于对照组患者。良性前列腺增生作为腹股沟疝发生的危险因素最值得怀疑。2.由于结果显示两组之间无显著差异，因此术前无需测定残余尿量。3.超过60%的50岁以上男性表现出病理性排尿功能。我们建议对所有住院的50岁以上男性进行泌尿外科筛查测试。
