Jonas U, Tanagho E A
Invest Urol. 1976 Mar;13(5):372-4.
Electrically quantitated and controlled detrusor contraction can produce either minimal or excessive rise in intravesical pressure depending upon openness or occlusion of the bladder outlet. Higher rise in intravesical pressure thus does not imply stronger detrusor contraction but should be viewed as a reflection of the outflow resistance mechanism. Possible damaging hydrodynamic effect of sudden partial or complete functional occlusion of the bladder outlet by intermittent or sustained voluntary sphincter activity is illustrated.
根据膀胱出口的开放或阻塞情况,通过电定量和控制的逼尿肌收缩可导致膀胱内压出现最小或过度升高。因此,膀胱内压的较高升高并不意味着逼尿肌收缩更强,而应被视为流出阻力机制的一种反映。文中说明了间歇性或持续性自主括约肌活动导致膀胱出口突然部分或完全功能性阻塞可能产生的有害流体动力学效应。