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Primary Bladder Neck Obstruction

机译:原发性膀胱颈梗阻

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摘要

Primary bladder neck obstruction (PBNO) is a functional obstruction caused by abnormal opening of the bladder neck during the voiding phase of micturition. PBNO may present with a variety of symptoms including voiding symptoms (slow urinary stream, intermittent stream, incomplete emptying), storage symptoms (frequency, urgency, urgency incontinence, nocturia), and/or pelvic pain and discomfort. The diagnosis of PBNO can be made with videourodynamic testing, which demonstrates elevated voiding pressures with low flow, and fluoroscopic imaging demonstrating obstruction at the level of the bladder neck. Treatment options include conservative management with watchful waiting, pharmacologic management, and surgical intervention. In this article, we review the etiology, presentation, diagnosis, and treatment of PBNO in men, women, and children.
机译:原发性膀胱颈阻塞(PBNO)是由排尿排尿阶段中膀胱颈的异常打开引起的功能性阻塞。 PBNO可能出现多种症状,包括排尿症状(尿流缓慢,间歇性流,排空不完全),贮存症状(频率,尿急,尿失禁,夜尿)和/或骨盆疼痛和不适。 PBNO的诊断可通过视频尿动力学检查来进行,该检查可显示出排尿压力低,血流增加以及荧光镜检查显示膀胱颈水平阻塞。治疗选择包括保守治疗和警惕的等待,药理管理和手术干预。在本文中,我们回顾了男性,女性和儿童中PBNO的病因,表现,诊断和治疗。

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