Bhardwaj Raghubir, Sinha Harish K
Department of Urology, Tata Main Hospital, Jamshedpur, Jharkhand, India.
J Family Med Prim Care. 2022 Feb;11(2):790-792. doi: 10.4103/jfmpc.jfmpc_1044_21. Epub 2022 Feb 16.
An impaired ability to evacuate the urinary bladder is commonly seen in both men and women with aging. Usually, patients present with a range of storage, voiding, and post-micturition urinary symptoms. It may eventually lead to urinary retention. These symptoms may have a considerable effect on the patient's quality of life. Despite its common prevalence with advancing age, the etiopathogenesis of the underactive urinary bladder is incompletely understood. There are no widely agreed diagnostic criteria. The urodynamic study (UDS), an invasive investigation is the only accepted modality to diagnose underactive detrusor. There is a lack of effective treatments to improve bladder emptying. The goals of treatment are to improve symptoms and reduce the risk for the complications of impaired bladder emptying. We report a case of a 73 year male who came to us with a history of urinary symptoms and a distended abdomen.
随着年龄增长，膀胱排空能力受损在男性和女性中都很常见。通常，患者会出现一系列储尿、排尿及排尿后泌尿系统症状。最终可能导致尿潴留。这些症状可能对患者的生活质量产生相当大的影响。尽管膀胱功能减退随着年龄增长很常见，但其发病机制尚未完全明确。目前尚无广泛认可的诊断标准。尿动力学检查（UDS）是一种侵入性检查，是诊断逼尿肌功能减退唯一被认可的方法。目前缺乏改善膀胱排空的有效治疗方法。治疗的目标是改善症状并降低膀胱排空受损并发症的风险。我们报告一例73岁男性患者，因泌尿系统症状和腹部膨隆前来就诊。
