Affre J, Deltour F, Sterin P, Raust V, Moreau J F, Michel J R
J Radiol. 1979 Aug-Sep;60(8-9):487-92.
Dysuria is a relatively frequent complication after prostatic adenomectomy. The authors review 107 patients with this complication and demonstrate that radiological investigation, including a micturition study, preferably after IVU, shows the presence of an obstructive cause for the dysuria in the vast majority of cases (92.5%). There are two main types of obstructive lesion: - parietal stenosing lesions, - compression lesions. - The most frequent parietal stenosing lesions, apart from those of the bladder neck, are urethral stenoses. - Stenoses with total compression of the capsule are often the cause of severe dysuria. - Localized compression of the capsule and urethral stenosis usually cause only moderate dysuria. - An irregular lacunar image should suggest cancer of the prostate.
排尿困难是前列腺腺瘤切除术后相对常见的并发症。作者回顾了107例有此并发症的患者，并证明放射学检查，包括排尿研究，最好在静脉肾盂造影后进行，显示绝大多数病例（92.5%）的排尿困难存在梗阻原因。梗阻性病变主要有两种类型：- 壁层狭窄性病变，- 压迫性病变。- 除膀胱颈病变外，最常见的壁层狭窄性病变是尿道狭窄。- 包膜完全受压的狭窄通常是严重排尿困难的原因。- 包膜局部受压和尿道狭窄通常仅引起中度排尿困难。- 不规则的腔隙样影像应提示前列腺癌。
