Olapade-Olaopa E O, Morley R N, Carter C J, Walmsley B H
Department of Urology, St. Mary's Hospital, Portsmouth, United Kingdom.
J Diabetes Complications. 1997 Nov-Dec;11(6):350-1. doi: 10.1016/s1056-8727(96)00107-9.
Lower genito-urinary problems are part of the polyneuropathy of diabetes. Cystopathy affects 40%-85% of diabetic patients, although less than half are symptomatic. We report on a 42-year-old patient who was not known to be diabetic, and who presented to the urologists with primary acute urinary retention. His underlaying disease was detected by a test for random blood glucose. More common causes were excluded with careful clinical and radiological examinations. He was managed with insulin and self-catheterization. Diabetes should be considered as a differential diagnosis in relatively young men who present with unexplained acute urinary retention.
下泌尿生殖系统问题是糖尿病多发性神经病变的一部分。膀胱病变影响40%-85%的糖尿病患者，尽管有症状者不到一半。我们报告一名42岁的患者，此前不知其患有糖尿病，该患者因原发性急性尿潴留就诊于泌尿科医生。通过随机血糖检测发现了其潜在疾病。通过仔细的临床和影像学检查排除了更常见的病因。他接受了胰岛素治疗和自我导尿。对于出现不明原因急性尿潴留的相对年轻男性，应将糖尿病视为鉴别诊断之一。
