A Urodynamic View of Prostatic Obstruction and the Results of Prostatectomy
| Autor: | Peter H. L. Worth, E P Arnold, C. G. Whiteside, J. Weir, J R Webster, E. G. J. Milroy, Richard Turner Warwick, C. P. Bates |
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| Rok vydání: | 1973 |
| Předmět: |
Male
medicine.medical_specialty Urology medicine.medical_treatment Enucleation Prostatic Hyperplasia urologic and male genital diseases Detrusor instability Urethra Methods Pressure medicine Humans Decompensation reproductive and urinary physiology Prostatectomy Laughter urogenital system business.industry Residual urine Urography Cystoscopy Urination Disorders musculoskeletal system Psychophysiologic Disorders female genital diseases and pregnancy complications Surgery Urinary Incontinence medicine.anatomical_structure Cough High pressure Sphincter Female Prostatic obstruction Rheology business |
| Zdroj: | British Journal of Urology. 45:631-645 |
| ISSN: | 1464-410X 0007-1331 |
| DOI: | 10.1111/j.1464-410x.1973.tb12234.x |
| Popis: | Summary The responses of the detrusor to obstruction are discussed. Detrusor instability has been a frequent finding and if it persists it appears to be responsible for a considerable proportion of postprostatectomy symptoms. A post-voiding residual urine is a clear indication of detrusor decompensation; severe outflow obstruction with high pressure detrusor instability may occur before the detrusor finally decompensates and residual urine develops. The function of isolated sphincter mechanisms is analysed, and a technique for the preservation of the distal sphincter mechanism during enucleation prostatectomy considered. If further studies prove that detrusor complications, particularly instability, increase as a result of delaying the resolution of a significant outflow obstruction, there are good urodynamic reasons for avoiding them by advising a relatively early resolution of outflow obstruction. |
| Databáze: | OpenAIRE |
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