Potenzoni D, Sianesi M, Chiampo L
Ateneo Parmense Acta Biomed. 1980;51 Suppl 1:67-74.
An uro-dynamic evaluation has been performed on 25 patients, who had been submitted to abdomino-perineal amputation of the rectum and had thereafter shown functional disturbances of micturition. On the latter, causes and mechanisms are discussed, particularly neurological as well as mechanical and inflammatory ones, with regard to their relationship with sex and other possible aspects in the field of pathology. In 16 cases urinary retention developed, in 4 cases urinary incontinence, in 4 cases urgency but complete voiding. The authors conclude by stressing the role of pre-operative uro-dynamic assessment in every patient who is going to be submitted to rectal exeresis, in order to detect sub-clinical functional impairment of micturition, which could be suitably treated, during the main operation itself, by either desobstructive or reconstructive measures.
对25例接受过直肠腹会阴切除术且术后出现排尿功能障碍的患者进行了尿动力学评估。针对后者，讨论了其病因和机制，特别是神经、机械及炎症方面的病因和机制，并探讨了它们与性别以及病理学领域其他可能因素的关系。16例出现尿潴留，4例出现尿失禁，4例有尿急但能完全排空膀胱。作者强调，对于每一位即将接受直肠切除术的患者，术前进行尿动力学评估非常重要，以便检测出排尿功能的亚临床损害，在主要手术过程中，可通过解除梗阻或重建措施对其进行适当治疗。
