一名年轻男性因结肠灌洗继发急性尿潴留：病例报告
Acute urinary retention in a young man secondary to colonic irrigation: a case report.
作者信息
Raheem Omer A, Long Ronan M, Casey Rowan G, D'Arcy Frank T, Lynch Thomas H
机构信息
Department of Urology, University of Dublin, Trinity College, St James's Hospital James's Street, Dublin 8 Ireland.
出版信息
J Med Case Rep. 2009 Jun 11;3:6757. doi: 10.4076/1752-1947-3-6757.
INTRODUCTION
Autonomic innervation of the bladder is complex and regulated by a hierarchy of mechanisms of the central nervous system. Any dysfunction in these regulatory mechanisms can lead to acute urinary retention.
CASE PRESENTATION
A 36-year-old Caucasian man presented with acute urinary retention following extensive bowel irrigation. His urinary bladder was decompressed and his normal voiding mechanism was restored thereafter.
CONCLUSION
We postulate that prolonged anorectal and sigmoid dilatation can stimulate the recto-vesicourethral reflex and lead to acute urinary retention via autonomic dysfunction.
引言
膀胱的自主神经支配复杂，受中枢神经系统一系列机制调控。这些调节机制的任何功能障碍都可导致急性尿潴留。
病例报告
一名36岁的白种男性在进行广泛肠道灌洗后出现急性尿潴留。随后对其膀胱进行减压，其正常排尿机制得以恢复。
结论
我们推测，长时间的肛门直肠和乙状结肠扩张可刺激直肠 - 膀胱 - 尿道反射，并通过自主神经功能障碍导致急性尿潴留。
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