Bablumyan A
Georgian Med News. 2010 Dec(189):7-11.
The analysis of the data presented in the review convincingly shows the correlation between infravesical obstruction (IVO), caused by pressing of urethra by enlarged prostate, and the development of detrusor hyperactivity. The clinical importance of correlation between IVO and hyperactivity of the detrusor is convincingly illustrated by different results of effectiveness of surgical treatment of patients with benigh prostate hyperplasia (BPH) with and without hyperactivity of bladder. In patients with BPH and hyperactivity of bladder the probability of irritative symptoms is high. This data proves the necessity of the further study of the pathogenesis of development of bladder hyperactivity in patients with BPH, and the importance of a preoperative estimation of functional frustration of the bladder.
该综述中所呈现数据的分析令人信服地表明，由前列腺增生压迫尿道导致的膀胱下梗阻（IVO）与逼尿肌过度活动的发生之间存在关联。膀胱下梗阻与逼尿肌过度活动之间相关性的临床重要性，通过对伴有和不伴有膀胱过度活动的良性前列腺增生（BPH）患者进行手术治疗的不同疗效结果得到了令人信服的说明。在患有BPH且膀胱过度活动的患者中，出现刺激性症状的可能性很高。这些数据证明了进一步研究BPH患者膀胱过度活动发生机制的必要性，以及术前评估膀胱功能障碍的重要性。
