- 期刊
Diagnosis and Treatment of Primary Bladder Neck Obstruction in Young Men
並列摘要
Primary bladder neck obstruction (PBNO) is a videourodynamic diagnosis in which the bladder neck does not open completely or appropriately during micturition. This article describes its epidemiology and typical presenting symptoms and signs. The diagnosis of this condition is often missed for several years in many cases. Although the true prevalence is difficult to ascertain, studies in young men with chronic voiding dysfunction show a marked prevalence of the condition. The treatments available are pharmacologic and surgical. The mainstay of medical treatment for PBNO has been α-blockers. Successful medical treatment is more likely to be achieved in men who are urodynamically obstructed. The most effective treatment has been surgical incision of the bladder neck. In the future, to truly assess the effects of the therapy, randomized, placebo-controlled studies and defined outcome measures are necessary.
延伸閱讀
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