Brosman S A
Geriatrics. 1979 Apr;34(4):25-9, 33-4.
Watching the way a patient voids is the easiest way to determine the presence of prostatic obstruction. Uroflowmetry can objectively measure the amount of obstruction. Clinical evaluation of prostatism should include an intravenous urogram, serum creatinine determination, urinalysis, urine culture, and cystoscopy. Suspicious areas of induration in the prostate should be biopsied. Surgery is not required for most men with prostatic hypertrophy. Indications for prostatectomy are severe symptoms of obstruction, significant renal or bladder decompensation, recurrent urinary tract infection, bladder calculi, and recurrent bleeding.
观察患者排尿的方式是确定前列腺梗阻是否存在的最简单方法。尿流率测定可以客观地测量梗阻的程度。对前列腺增生的临床评估应包括静脉肾盂造影、血清肌酐测定、尿液分析、尿培养和膀胱镜检查。前列腺中可疑的硬结区域应进行活检。大多数前列腺肥大的男性不需要手术。前列腺切除术的适应证是严重的梗阻症状、明显的肾或膀胱失代偿、复发性尿路感染、膀胱结石和反复出血。
