摘要:

The author considers only bladder neck obstruction in the adult woman. This affection is more frequent than usually thought. The diagnosis is often difficult because dysuria or urinary retention are overlooked, the attention being drawn by other, usually atypical symptoms like hematuria, renal insufficiency, polyps of the meatus, cystocele. Recurrence is frequent after TUR which nevertheless seems the best technique.

ISSN:0042-1138    

DOI:10.1159/000279808

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

It has been known for a long time that estrogens can improve or cure a certain number of women with urinary-stress incontinence, but their use has always been limited by their stimulating effect on the endometrium, to which undesirable uterine bleedings may frequently follow. This drawback is not presented by quinestradol, which has a selective action on the lower female genital tract, as well as on the trigone of the bladder and the dorsal part of the urethra. Treatment with quinestradol, 2 mg daily by mouth for cycles of 20 days, has given complete relief of the incontinence in about a third of our patients.

ISSN:0042-1138    

DOI:10.1159/000279809

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

Considering the great uncertainty regarding not only the pathogenetic interpretation of vesical-neck obstruction (VNO), but also the anatomical description and definition of the vesical neck (VN), we have retackled the problem, making anatomicohistologic studies in persons of both sexes, ranging from fetus to adult, in normal and pathological conditions, with the GIL VERNET histotopographic serial technique. We can state that VN is not only urinary sphincter, but also a complex neuromuscular system – above all, genital. It has no importance for the retention of urine; in some pathological conditions, however, it can become an obstacle to the bladder’s voidingi.e., VNO. The causes for the first irritation of the spine, producing spasm and contraction, are due to inflammatory, vascular or degenerative problems of the mucosa, submucosa (urethro-cervicitis) or periurethra (periurethritis and chronical prostatit

ISSN:0042-1138    

DOI:10.1159/000279810

出版商:S. Karger AG    

年代:1972

数据来源: Karger