urinary bladder neck obstruction/asthenia

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Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction.

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BACKGROUND The most common type of functional bladder outlet obstruction in patients with neurogenic bladder is detrusor-sphincter dyssynergia (DSD). The lack of co-ordination between the bladder and the external urethral sphincter muscle (EUS) in DSD can result in poor bladder emptying and high

Inguinal cystoceles: a previously overlooked etiology of prostatism in men without bladder outlet obstruction.

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OBJECTIVE We determine whether inguinal cystoceles, a type of extraperitoneal herniation of the bladder, are responsible for symptoms consistent with prostatism in men without bladder outlet obstruction. METHODS From January 1996 to February 1997 inguinal cystoceles were treated with surgical repair

Structural basis of geriatric voiding dysfunction. IV. Bladder outlet obstruction.

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Several aspects of the pathogenesis of voiding dysfunction in bladder outlet obstruction remain unresolved. The structural basis of obstructive versus nonobstructive dysfunction was investigated in a prospective ultrastructural/urodynamic study of 35 elderly subjects of comparable age. Detrusor

Urodynamics tests for the diagnosis and management of bladder outlet obstruction in men: the UPSTREAM non-inferiority RCT

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Background: Lower urinary tract symptoms (LUTS) in men may indicate bladder outlet obstruction (BOO) or weakness, known as detrusor underactivity (DU). Severe bothersome LUTS are a common indication for surgery. The diagnostic tests may

[Clinical study of acute urinary retention].

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OBJECTIVE Clinical study of acute urinary retention seen by this department. METHODS Subjects were 206 cases seen during office hours and during after-hours emergency care by the department of Urology at the Kinki University Hospital for acute urinary retention for the 12-year-period from April 1993

[Inguinoscrotal bladder hernias].

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OBJECTIVE Despite the high incidence of inguinal hernias. In the general population, only a small percentage of them involve the bladder. Bladder wall weakness and bladder outlet obstruction are involved in its pathogenesis. We present our experience in the diagnosis and treatment of this rare

The diagnosis of prostatic carcinoma.

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The increased incidence of prostatic carcinoma is the result of several factors including increased awareness among clinicians and the public of the significance of carcinoma of the prostate, the aging of the American population, and improvements in diagnostic methods. Most patients in whom

Accurate diagnosis of detrusor areflexia using combined uroflowmetry and abdominal wall electromyography.

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Twenty-three patients who previously demonstrated no detrusor contraction during cystometry were evaluated using a combined uroflowmetry and abdominal wall electromyography. Ten patients voided without abdominal straining (normal detrusor reflexia), 11 could not void without abdominal straining

Urodynamic and clinical studies in patients with late-onset Pompe disease and lower urinary tract symptoms.

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In late-onset Pompe disease (LOPD), a lysosomal storage disorder with glycogen accumulation in several tissues, patients suffer from progressive skeletal muscle weakness. Lower urinary tract symptoms (LUTS) have rarely been reported. The aim of this study is to objectively assess LUTS

Pathophysiology: the varieties of bladder overactivity.

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Overactive bladder (OAB) is the most common term currently used in clinical medicine to describe a complex of lower urinary tract symptoms (LUTS) with or without incontinence. The symptoms usually include urgency, frequency, nocturia, troublesome or incomplete emptying, and, occasionally, pain.

alpha(1)-Blocker therapy in the nineties: focus on the disease.

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Therapy for benign prostatic hyperplasia has evolved rapidly over the last decade, with the introduction in the early 1990s of new agents such as alpha(1)-blockers and 5alpha-reductase inhibitors. The major advantage of alpha(1)-blockers over 5alpha-reductase inhibitors is their rapid onset of

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