Transurethrai resection of bladder neck(female)and urinary sphincter(male)to treat neurogenic urinary dysfunction
10.3760/cma.j.issn.1000-6702.2009.08.016
- VernacularTitle:经尿道手术治疗神经性排尿功能障碍
- Author:
Yantang LI
;
Jun DONG
;
Xiuzhen NAN
;
Shanzhi CHU
;
Xu ZHANG
;
Baowei DONG
;
Jie TANG
- Publication Type:Journal Article
- Keywords:
Bladder,neurogenic;
Urination disorders;
Surgical procedures,elective
- From:
Chinese Journal of Urology
2009;30(8):550-551
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of transurethral resection of bladder neck(female)and urinary sphincter(male)to treat neurogenic urinary dysfunction. Methods Forty-one patients(28 women and 13 men)with neurogenic urinary dysfunction(dysuria)were retrospectively analyzed.All patients had sacral neurological damage.The mean patient age was 27(12-43)years.All patients had urinary retention and ureter dilation.Twenty-nine patients had renal function damage.Residual urine volume was 151-700 ml(mean 420 m1).MFR was 4-14 ml/s.After local anesthesia,bladder neck(female)was incised at 5,6,7 o'clock to the circle fiber.Urinary sphincter(male) was cut off at 11,1 o'clock and was dilated using sound(F24-F27).The catheterization time was 1-2 weeks. Results All 41 patients were followed up,from 2 months to 252 months,average 85 months.Thirty-six patients(88%)were completely recovered with no residual urine,no dilation of ureter and pelvis,no renal function damage.of these 36 cases,surgery was carried out once for 1 patient,twice for 20 and 3 times for 15.Five patients(12%)were not improved. Conclusion Transurethral resection of bladder neck(female)and urinary sphincter(reale)to treat neurogenic urinary dysfunction could be an effective method.
