Delaere K P, Debruyne F M, Moonen W A
Br J Urol. 1983 Jun;55(3):283-6. doi: 10.1111/j.1464-410x.1983.tb03299.x.
Anterior bladder neck incision was carried out in 32 female patients suffering from difficult, mostly incomplete, bladder emptying. All patients underwent a full urodynamic investigation with voiding cystourethrography and endoscopy. Detrusor failure was observed in 20 patients; in the remainder, a mechanical iatrogenic bladder neck obstruction was held responsible for inefficient voiding. Twenty-eight patients (56%) benefited in some degree from the procedure. Six were submitted to a repeat incision and two of them developed severe stress incontinence later on. As the results are far from promising, intermittent self-catheterisation may be proposed in some cases as an alternative to bladder neck incision for fear of incontinence. The urodynamic findings and the results of bladder neck incision, which are very different in the two sexes, are analysed. The poorer results in the female are presumably due to the decompensated state of the bladder, mostly responsible for incomplete bladder evacuation.
对32例存在排尿困难（多数为不完全性排尿困难）的女性患者实施了膀胱颈前部切开术。所有患者均接受了包括排尿性膀胱尿道造影和内镜检查在内的全面尿动力学检查。观察到20例患者存在逼尿肌功能衰竭；其余患者中，机械性医源性膀胱颈梗阻被认为是排尿效率低下的原因。28例患者（56%）在一定程度上从该手术中获益。6例患者接受了再次切开术，其中2例随后出现了严重的压力性尿失禁。由于结果远不尽如人意，对于一些担心出现尿失禁的患者，可考虑在某些情况下采用间歇性自我导尿术替代膀胱颈切开术。本文分析了尿动力学检查结果以及膀胱颈切开术的结果，两者在男女两性中差异很大。女性患者结果较差可能是由于膀胱失代偿状态，这主要导致膀胱排空不完全。
