Mizuo T, Ando M
Department of Urology, Tokyo Medical and Dental University.
Hinyokika Kiyo. 1988 Jan;34(1):178-80.
A 22-year-old man was referred to us complaining of enuresis. The excretory urogram and cystogram were almost normal. Spina bifida was not present. The results of the urodynamic examination including uroflowmetry, cystometry, urethral pressure profile, electromyogram and sensory threshold of external urethral sphincter were within normal limits. Amitriptyline hydrochloride and flavoxate hydrochloride showed no effects. Because we found a positive spike wave on the electroencephalogram, the patient was referred to a psychopathologist, and was diagnosed as being in the early stage of schizophrenia. He complained of enuresis as his olfactive hallucination of urine. Psychopathological treatment for 1 year and 2 months resulted in disappearance of his complaining of enuresis.
一名22岁男性因遗尿前来我院就诊。排泄性尿路造影和膀胱造影基本正常。未发现脊柱裂。尿流动力学检查结果，包括尿流率测定、膀胱测压、尿道压力分布、肌电图和尿道外括约肌感觉阈值均在正常范围内。盐酸阿米替林和盐酸黄酮哌酯均无效。由于我们在脑电图上发现了阳性棘波，该患者被转介给一名精神病理学家，并被诊断为精神分裂症早期。他将遗尿主诉为尿液嗅觉幻觉。经过1年零2个月的精神病理学治疗，他的遗尿主诉消失了。
