导尿管相关膀胱不适：对病理生理学、临床影响及管理的见解
Catheter-Related Bladder Discomfort: Insights Into Pathophysiology, Clinical Impact, and Management.
作者信息
Markopoulos Titos, Katsimperis Stamatios, Lazarou Lazaros, Tzelves Lazaros, Mitsogiannis Iraklis, Papatsoris Athanasios, Skolarikos Andreas, Varkarakis Ioannis
机构信息
Second Department of Urology, National and Kapodistrian University of Athens, Sismanogleio General Hospital, Athens, GRC.
Second Department of Urology, National and Kapodistrian University of Athens, Sismanoglio General Hospital, Athens, GRC.
出版信息
Cureus. 2025 Mar 27;17(3):e81322. doi: 10.7759/cureus.81322. eCollection 2025 Mar.
Catheter-related bladder discomfort (CRBD) is a frequent postoperative complication that significantly impacts the quality of recovery in patients undergoing transurethral surgeries. It manifests as suprapubic pain, an intense urge to void, and bladder spasms due to muscarinic receptor activation. This narrative review provides a comprehensive analysis of CRBD, with a particular focus on bladder spasms in patients treated with transurethral resection of bladder tumors (TURBT) or the prostate (TURP). The review explores the underlying pathophysiology, clinical implications, and evidence-based management strategies, including pharmacological interventions such as antimuscarinics and nerve blocks, as well as non-pharmacological measures.
导尿管相关膀胱不适（CRBD）是一种常见的术后并发症，对接受经尿道手术患者的恢复质量有显著影响。它表现为耻骨上疼痛、强烈的排尿冲动以及由于毒蕈碱受体激活导致的膀胱痉挛。本叙述性综述对CRBD进行了全面分析，特别关注接受膀胱肿瘤经尿道切除术（TURBT）或前列腺经尿道切除术（TURP）治疗的患者中的膀胱痉挛。该综述探讨了潜在的病理生理学、临床意义以及循证管理策略，包括抗毒蕈碱药物和神经阻滞等药物干预措施以及非药物措施。
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