Fischer W, Lamm D
Z Urol Nephrol. 1978 Dec;71(12):857-64.
With the help of a large number of patients of the gynaecological hospital of Berlin University is demonstrated that with increasing genital descent incontinences of urine more infrequently appear, infections and cases of urinary stasis, however, more frequently. The causes of this are shown. In urinary incontinence must always be thought of the fact that apart from the urethral occlusion insufficiency also a pseudostress incontinence, urge-incontinence or overflow incontinence are possible. - infections of the urinary tract demand prophylactic as well as aimed therapeutic consequences. - Functional disturbances of the kidneys and of the upper urinary tract can nowadays be demonstrated early and carefully by means of the isotope nephrography. The indication to chromocytoscopy and urography is thus further restricted in descent and prolapse. Symptoms of renals insufficiency were observed in 15% of the prolapse diseases. Gynaecologists should more frequently consult nephrologists. On the other hand, in renal insufficiency of older women nephrologists should always think of the genital prolapse as a possible cause.
借助柏林大学妇科医院的大量患者证明，随着生殖器脱垂程度加重，尿失禁出现的频率降低，然而感染和尿潴留病例出现的频率增加。文中说明了其原因。在尿失禁方面，必须始终考虑到这样一个事实，即除了尿道阻塞不全外，还可能存在假性压力性尿失禁、急迫性尿失禁或充溢性尿失禁。——尿路感染需要进行预防性以及针对性的治疗。——如今，借助同位素肾图可以早期且仔细地发现肾脏和上尿路的功能障碍。因此，在脱垂和膨出的情况下，膀胱镜检查和尿路造影的指征进一步受限。在15%的脱垂疾病中观察到了肾功能不全的症状。妇科医生应更频繁地咨询肾病科医生。另一方面，对于老年女性的肾功能不全，肾病科医生应始终将生殖器脱垂视为可能的病因。
