Errando Smet C, Huguet Pérez J, Batista Miranda J E, Bakali Mourabet K, Araño Bertrán P
Unidad de Urodinamia, Fundación Puigvert, C/Cartagena 340, Barcelona, Espagne.
J Urol (Paris). 1997;103(1-2):24-6.
Bladder outlet obstruction in women is a rare entity, and difficult to diagnose. In our series most of the patients had previous history of gyneco-obstetric or urological procedures. Cystometry enabled us to diagnose the coexistence of bladder instability and obstruction in 48% of the patients. We did not find statistically significant differences between the patients with and without BI in terms of degree of obstruction measured by uroflowmetry and pressure/flow studies. Pressure/flow studies and Uroflowmetry had been the essential key in the diagnosis of obstruction in our series. Cysto-urethrography and urethroscopy were normal in over 50% of patients. The urethral calibration was abnormal in 16% of the cases.
女性膀胱出口梗阻是一种罕见疾病,且难以诊断。在我们的病例系列中,大多数患者既往有妇产科或泌尿外科手术史。膀胱测压使我们能够在48%的患者中诊断出膀胱不稳定和梗阻并存的情况。就通过尿流率测定和压力/流率研究测得的梗阻程度而言,我们未发现有膀胱不稳定和无膀胱不稳定的患者之间存在统计学上的显著差异。在我们的病例系列中,压力/流率研究和尿流率测定一直是诊断梗阻的关键要素。超过50%的患者膀胱尿道造影和尿道镜检查结果正常。16%的病例尿道扩张异常。