Female Bladder Outlet Obstruction
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  • 作者:Daniel S. Hoffman ; Victor W. Nitti
  • 关键词:Female urology ; Bladder outlet obstruction ; Iatrogenic obstruction
  • 刊名:Current Urology Reports
  • 出版年:2016
  • 出版时间:April 2016
  • 年:2016
  • 卷:17
  • 期:4
  • 全文大小:226 KB
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  • 作者单位:Daniel S. Hoffman (1)
    Victor W. Nitti (1)

    1. Department of Urology, New York University, Langone Medical Center, 150 E 32nd St, New York, NY, 10016, USA
  • 刊物主题:Urology/Andrology; Nephrology;
  • 出版者:Springer US
  • ISSN:1534-6285
  • 文摘
    The non-specific symptoms the patients express upon the presentation of female bladder outlet obstruction make it a challenge to diagnose. There are subtle differences between the obstructed patient and those whose bladders are underactive and/or fail to mount a detrusor contraction. These disparities can be extracted through a thorough history and examination. At times, the clinician may utilize nomograms, non-invasive uroflow, and urodynamics with the addition of fluoroscopy to establish the diagnosis of obstruction. Management of the obstruction depends on the nature of the condition, whether functional or anatomical. The increase in the number of sling procedures performed to treat stress urinary incontinence has resulted in a rise in the number of iatrogenic obstructions. The temporal relationship between surgery and obstruction is the key to identifying the problem.

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