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Войти в исследования Archivos espanoles de urologia · 2002
[Obstruction of the lower urinary tract in women].
Аннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Jiménez Cidre Miguel
Аннотация
OBJECTIVES: To review the literature on female bladder outlet obstruction.
METHODS: Female lower urinary tract obstruction clinical and urodynamic diagnostic criteria are defined.
RESULTS: The main etiologic processes are identified: 1) Obstruction secondary to pelvic organ prolapse; 2) Postsurgical obstruction; 3) Uncoordinated voiding; 4) Detrusor-striated sphincter dyssinergia; 5) Bladder neck primary obstruction. The diagnostic features and various available treatments depending on the etiology (pharmacological, reeducative or surgical) are commented.
CONCLUSIONS: Bladder outlet obstruction in the female is an underdiagnosed process frequently, which presents with a clinical picture different than in males, and demands a careful study from the urologist in order to identify the anatomical or functional cause. It will always be important to keep a high level of suspicion, mainly after treatment failures for voiding syndromes or recurrent urinary tract infections.
METHODS: Female lower urinary tract obstruction clinical and urodynamic diagnostic criteria are defined.
RESULTS: The main etiologic processes are identified: 1) Obstruction secondary to pelvic organ prolapse; 2) Postsurgical obstruction; 3) Uncoordinated voiding; 4) Detrusor-striated sphincter dyssinergia; 5) Bladder neck primary obstruction. The diagnostic features and various available treatments depending on the etiology (pharmacological, reeducative or surgical) are commented.
CONCLUSIONS: Bladder outlet obstruction in the female is an underdiagnosed process frequently, which presents with a clinical picture different than in males, and demands a careful study from the urologist in order to identify the anatomical or functional cause. It will always be important to keep a high level of suspicion, mainly after treatment failures for voiding syndromes or recurrent urinary tract infections.