Yande Shirish, Joshi Maya
Centre for Advanced Urodynamics, Ratna Memorial Hospital, Pune, India.
J Midlife Health. 2011 Jan;2(1):11-7. doi: 10.4103/0976-7800.83257.
Bladder outlet obstruction in females remains a poorly understood condition and is much rarer as compared to males. More difficult is the objective diagnosis of this condition. There is no general agreement on the Urodynamic parameters to define the condition with certainty. A number of conditions are involved particularly in urinary retention in females are not completely understood. Besides, external sphincter dysfunction and post surgical retentions add another group of conditions which are distinct from retentions seen in the males. This article takes a review of various aetiological factors of Bladder outlet obstruction in women. An attempt is made to standardise the Urodynamic parameters for use in females, based on our data and experimentation on the models of the bladder and urethra. This article also takes a review of uncommon conditions such as Fowler's syndrome which often complicate evaluation of this condition.
女性膀胱出口梗阻仍然是一种了解甚少的病症，与男性相比更为罕见。对这种病症进行客观诊断更加困难。对于确定该病症的尿动力学参数尚无普遍共识。特别是涉及女性尿潴留的一些情况尚未完全明了。此外，外括约肌功能障碍和术后尿潴留又增加了另一类与男性所见尿潴留不同的病症。本文综述了女性膀胱出口梗阻的各种病因。基于我们的数据以及在膀胱和尿道模型上进行的实验，试图规范用于女性的尿动力学参数。本文还综述了诸如福勒综合征等常使该病症评估复杂化的罕见病症。
