BACKGROUND Management of non-neurogenic,non-obstructive dysuria represents one of the most challenging dilemmas in urological practice.The main clinical symptom is the increase in residual urine.Voiding dysfunction is...BACKGROUND Management of non-neurogenic,non-obstructive dysuria represents one of the most challenging dilemmas in urological practice.The main clinical symptom is the increase in residual urine.Voiding dysfunction is the main cause of dysuria or urinary retention,mainly due to the decrease in bladder contraction(the decrease in contraction amplitude or duration)or the increase in outflow tract resistance.Sacral neuromodulation(SNM)has been used for>10 years to treat many kinds of lower urinary tract dysfunction.It has become increasingly popular in China in recent years.Consequently,studies focusing on nonneurogenic,non-obstructive dysuria patients treated by SNM are highly desirable.AIM To assess the outcome of two-stage SNM in non-neurogenic,non-obstructive dysuria.METHODS Clinical data of 54 patients(26 men,28 women)with non-neurogenic,nonobstructive dysuria treated by SNM from January 2012 to December 2016 in ten medical centers in China were retrospectively analyzed.All patients received two or more conservative treatments.The voiding diary,urgency score,and quality of life score before operation,after implantation of tined lead in stage I(test period),and during short-term follow-up(latest follow-up)after implantation of the implanted pulse generator in stage II were compared to observe symptom improvements.RESULTS Among the 54 study patients,eight refused to implant an implanted pulse generator because of the unsatisfactory effect,and 46 chose to embed the implanted pulse generator at the end of stage I.The conversion rate of stage I to stage II was 85.2%.The average follow-up time was 18.6 mo.There were significant differences between baseline(before stage I)and the test period(after stage I)in residual urine,voiding frequency,average voiding amount,maximum voiding amount,nocturia,urgency score,and quality of life score.The residual urine and urgency score between the test period and the latest follow-up time(after stage II)were also significantly different.No significant differences were observed for other parameters.No wound infection,electrode breakage,or other irreversible adverse events occurred.CONCLUSION SNM is effective for patients with non-neurogenic,non-obstructive dysuria showing a poor response to traditional treatment.The duration of continuous stimulation may be positively correlated with the improvement of residual urine.展开更多
12 senile women with dysuria were treated by acupuncture at Baihui (GV 20),Guanyuan(CV 4), Zhongji(CV 3), Zhibian(BL 54), Sanyinjiao(SP 6) points. Acupuncture with the needle warmed by burning moxa at Guanyuan point w...12 senile women with dysuria were treated by acupuncture at Baihui (GV 20),Guanyuan(CV 4), Zhongji(CV 3), Zhibian(BL 54), Sanyinjiao(SP 6) points. Acupuncture with the needle warmed by burning moxa at Guanyuan point was added for the patient of Yang-deficiency of the spleen and kidney; Acupuncture at Taixi (KI3) point was added for the patient of Yin-deficiency of the kidny; Electroacupuncture at Zhibian point was added for the patient with stagnation of qi and stasis of blood. As a result, 8 cases were basically cured, 3 were markedly effective and one was lneffective. The effective rate was 92 %.展开更多
Congenital paraurethral cyst rarely occurs. Its natural history is spontaneous regression, leading to conservative management adoption. We report an exceptional case of a 13-year-old female with a persistent congenita...Congenital paraurethral cyst rarely occurs. Its natural history is spontaneous regression, leading to conservative management adoption. We report an exceptional case of a 13-year-old female with a persistent congenital paraurethral cyst, leading to dysuria. We surgically excised the cyst, and the outcomes were unremarkable 20 months postoperatively.展开更多
Objective To investigate cause and prevention of dysuria after hyperplasia of prostate operation. Methods To analyze 66 cases of dysuria after hyperplasia of prostate operation retrospectively. Result The most common ...Objective To investigate cause and prevention of dysuria after hyperplasia of prostate operation. Methods To analyze 66 cases of dysuria after hyperplasia of prostate operation retrospectively. Result The most common reasons to dysuria are orderly stenosis of bladder neck; inflammatory edema of bladder neck; urethral stricture; rehyperplasia of remained prostate tissue; neruogenic bladder; prominence of ureteral crest; clot obstruction. Conclusion Prevention of dysuria after hyperplasia of prostate operation consists in preoperative satisfied diagnosis and correct treatment in operation and after operation.展开更多
OBJECTIVE: To assess the clinical curative effect of fuzi-cake-separated moxibustion at Zhongji(CV 3)and Guanyuan(CV 4) for preventing dysuria after internal fixation of lower limb fractures.METHODS: Sixty patients co...OBJECTIVE: To assess the clinical curative effect of fuzi-cake-separated moxibustion at Zhongji(CV 3)and Guanyuan(CV 4) for preventing dysuria after internal fixation of lower limb fractures.METHODS: Sixty patients conforming to the inclusion standards were randomly divided into a treatment group(n=30) and a control group(n=30).Fuzi-cake-separated moxibustion was performed at Guanyuan(CV 4) and Zhongji(CV 3), 20 min at a time, twice a day, for 3 days before operation in the treatment group. No fuzi-cake-separated moxibustion was performed in the control group. After treatment, the score for symptoms of first urination, urinary time, urinary volume, 24 h remaining urinary volume, incidence of uroschesis, and rate of controlling dysuria were compared to evaluate the curative effect of preventing post-operative dysuria.RESULTS: The score for symptoms of first urination,24 h remaining urinary volume(maximum 120 m L vs 250 m L, and less than 10 m L in 24 cases vs 15 cases), and the rate of controlling dysuria(83.34% vs30%) were significantly better(P<0.05, P<0.05, and P<0.001, respectively) in the treatment compared with the control group. There was no statistical difference(P>0.05) between the two groups in first post-operative urinary time, urinary volume, or incidence of 24 h uroschesis.CONCLUSION: Fuzi-cake-separated moxibustion at Zhongji(CV 3) and Guanyuan(CV 4) can better prevent post-operative dysuria, effectively promote the functional restoration of the urinary bladder,and control the incidence of post-operative dysuria.展开更多
目的:探讨经尿道前列腺电切术(trans-urethral resection of prostate,TURP)后排尿困难的病因及处理。方法:回顾性分析22例TURP术后出现排尿困难患者的临床资料及治疗方法。结果:术后发生腺体及异物残留3例,尿道狭窄5例,膀胱颈挛缩和逼...目的:探讨经尿道前列腺电切术(trans-urethral resection of prostate,TURP)后排尿困难的病因及处理。方法:回顾性分析22例TURP术后出现排尿困难患者的临床资料及治疗方法。结果:术后发生腺体及异物残留3例,尿道狭窄5例,膀胱颈挛缩和逼尿肌无力各7例,均经治疗后恢复。结论:腺体残留、尿道狭窄、膀胱颈挛缩、逼尿肌无力是TURP术后排尿困难的主要原因。正确的术前诊断及术中、术后处理是预防TURP术后发生排尿困难的关键。展开更多
目的探讨女性压力性尿失禁术后出现排尿困难的原因及护理应对措施。方法回顾性分析4种手术方法治疗压力性尿失禁患者的临床资料及其术后并发排尿困难情况。对15例排尿困难的患者进行相应的治疗及护理并观察其效果。结果 4组患者年龄、...目的探讨女性压力性尿失禁术后出现排尿困难的原因及护理应对措施。方法回顾性分析4种手术方法治疗压力性尿失禁患者的临床资料及其术后并发排尿困难情况。对15例排尿困难的患者进行相应的治疗及护理并观察其效果。结果 4组患者年龄、病程、产次、合并阴道前壁脱垂率及子宫脱垂率比较,差异均有统计学意义(P<0.05)。4组患者手术时间、术后留置导尿管时间、术后并发排尿困难率比较,差异均有统计学意义(P<0.05)。15例排尿困难患者治疗护理后均能顺利排尿,超声测定残余尿量均少于100 m l,达到临床治愈。结论女性压力性尿失禁患者术后并发排尿困难与手术方式、年龄、病程有关。行耻骨后库柏韧带悬吊术的患者,术后并发排尿困难的发生率最高(35.3%);而行自体阔筋膜尿道悬吊术的患者术后并发排尿困难率为13.0%,且均为尿潴留。针对患者情况及时给予相应的治疗及护理措施能减轻患者的痛苦。展开更多
基金Supported by National Key Research and Development Program of China,No.2018YFC2002202.
文摘BACKGROUND Management of non-neurogenic,non-obstructive dysuria represents one of the most challenging dilemmas in urological practice.The main clinical symptom is the increase in residual urine.Voiding dysfunction is the main cause of dysuria or urinary retention,mainly due to the decrease in bladder contraction(the decrease in contraction amplitude or duration)or the increase in outflow tract resistance.Sacral neuromodulation(SNM)has been used for>10 years to treat many kinds of lower urinary tract dysfunction.It has become increasingly popular in China in recent years.Consequently,studies focusing on nonneurogenic,non-obstructive dysuria patients treated by SNM are highly desirable.AIM To assess the outcome of two-stage SNM in non-neurogenic,non-obstructive dysuria.METHODS Clinical data of 54 patients(26 men,28 women)with non-neurogenic,nonobstructive dysuria treated by SNM from January 2012 to December 2016 in ten medical centers in China were retrospectively analyzed.All patients received two or more conservative treatments.The voiding diary,urgency score,and quality of life score before operation,after implantation of tined lead in stage I(test period),and during short-term follow-up(latest follow-up)after implantation of the implanted pulse generator in stage II were compared to observe symptom improvements.RESULTS Among the 54 study patients,eight refused to implant an implanted pulse generator because of the unsatisfactory effect,and 46 chose to embed the implanted pulse generator at the end of stage I.The conversion rate of stage I to stage II was 85.2%.The average follow-up time was 18.6 mo.There were significant differences between baseline(before stage I)and the test period(after stage I)in residual urine,voiding frequency,average voiding amount,maximum voiding amount,nocturia,urgency score,and quality of life score.The residual urine and urgency score between the test period and the latest follow-up time(after stage II)were also significantly different.No significant differences were observed for other parameters.No wound infection,electrode breakage,or other irreversible adverse events occurred.CONCLUSION SNM is effective for patients with non-neurogenic,non-obstructive dysuria showing a poor response to traditional treatment.The duration of continuous stimulation may be positively correlated with the improvement of residual urine.
文摘12 senile women with dysuria were treated by acupuncture at Baihui (GV 20),Guanyuan(CV 4), Zhongji(CV 3), Zhibian(BL 54), Sanyinjiao(SP 6) points. Acupuncture with the needle warmed by burning moxa at Guanyuan point was added for the patient of Yang-deficiency of the spleen and kidney; Acupuncture at Taixi (KI3) point was added for the patient of Yin-deficiency of the kidny; Electroacupuncture at Zhibian point was added for the patient with stagnation of qi and stasis of blood. As a result, 8 cases were basically cured, 3 were markedly effective and one was lneffective. The effective rate was 92 %.
文摘Congenital paraurethral cyst rarely occurs. Its natural history is spontaneous regression, leading to conservative management adoption. We report an exceptional case of a 13-year-old female with a persistent congenital paraurethral cyst, leading to dysuria. We surgically excised the cyst, and the outcomes were unremarkable 20 months postoperatively.
文摘Objective To investigate cause and prevention of dysuria after hyperplasia of prostate operation. Methods To analyze 66 cases of dysuria after hyperplasia of prostate operation retrospectively. Result The most common reasons to dysuria are orderly stenosis of bladder neck; inflammatory edema of bladder neck; urethral stricture; rehyperplasia of remained prostate tissue; neruogenic bladder; prominence of ureteral crest; clot obstruction. Conclusion Prevention of dysuria after hyperplasia of prostate operation consists in preoperative satisfied diagnosis and correct treatment in operation and after operation.
基金Supported by Shaoxing's Science and Technology Plan(No.2012D10020):Clinical research of fuzi-cake-separated moxibustion for preventing dysuria after operation for fracture
文摘OBJECTIVE: To assess the clinical curative effect of fuzi-cake-separated moxibustion at Zhongji(CV 3)and Guanyuan(CV 4) for preventing dysuria after internal fixation of lower limb fractures.METHODS: Sixty patients conforming to the inclusion standards were randomly divided into a treatment group(n=30) and a control group(n=30).Fuzi-cake-separated moxibustion was performed at Guanyuan(CV 4) and Zhongji(CV 3), 20 min at a time, twice a day, for 3 days before operation in the treatment group. No fuzi-cake-separated moxibustion was performed in the control group. After treatment, the score for symptoms of first urination, urinary time, urinary volume, 24 h remaining urinary volume, incidence of uroschesis, and rate of controlling dysuria were compared to evaluate the curative effect of preventing post-operative dysuria.RESULTS: The score for symptoms of first urination,24 h remaining urinary volume(maximum 120 m L vs 250 m L, and less than 10 m L in 24 cases vs 15 cases), and the rate of controlling dysuria(83.34% vs30%) were significantly better(P<0.05, P<0.05, and P<0.001, respectively) in the treatment compared with the control group. There was no statistical difference(P>0.05) between the two groups in first post-operative urinary time, urinary volume, or incidence of 24 h uroschesis.CONCLUSION: Fuzi-cake-separated moxibustion at Zhongji(CV 3) and Guanyuan(CV 4) can better prevent post-operative dysuria, effectively promote the functional restoration of the urinary bladder,and control the incidence of post-operative dysuria.
文摘目的:探讨经尿道前列腺电切术(trans-urethral resection of prostate,TURP)后排尿困难的病因及处理。方法:回顾性分析22例TURP术后出现排尿困难患者的临床资料及治疗方法。结果:术后发生腺体及异物残留3例,尿道狭窄5例,膀胱颈挛缩和逼尿肌无力各7例,均经治疗后恢复。结论:腺体残留、尿道狭窄、膀胱颈挛缩、逼尿肌无力是TURP术后排尿困难的主要原因。正确的术前诊断及术中、术后处理是预防TURP术后发生排尿困难的关键。
文摘目的探讨女性压力性尿失禁术后出现排尿困难的原因及护理应对措施。方法回顾性分析4种手术方法治疗压力性尿失禁患者的临床资料及其术后并发排尿困难情况。对15例排尿困难的患者进行相应的治疗及护理并观察其效果。结果 4组患者年龄、病程、产次、合并阴道前壁脱垂率及子宫脱垂率比较,差异均有统计学意义(P<0.05)。4组患者手术时间、术后留置导尿管时间、术后并发排尿困难率比较,差异均有统计学意义(P<0.05)。15例排尿困难患者治疗护理后均能顺利排尿,超声测定残余尿量均少于100 m l,达到临床治愈。结论女性压力性尿失禁患者术后并发排尿困难与手术方式、年龄、病程有关。行耻骨后库柏韧带悬吊术的患者,术后并发排尿困难的发生率最高(35.3%);而行自体阔筋膜尿道悬吊术的患者术后并发排尿困难率为13.0%,且均为尿潴留。针对患者情况及时给予相应的治疗及护理措施能减轻患者的痛苦。
