Value of radiological investigations in patients with dysuria after prostatic adenomectomy
Affre, J.; Deltour, F.; Sterin, P.; Raust, V.; Moreau, J.F.; Michel, J.R.
Journal de Radiologie 60(8-9): 487-492
1979
ISSN/ISBN: 0221-0363 PMID: 94093 Document Number: 145525
Dysuria is a relatively frequent complication after prostatic adenomectomy. The authors review 107 patients with this complication and demonstrate that radiological investigation, including a micturition study, preferably after IVU, shows the presence of an obstructive cause for the dysuria in the vast majority of cases (92.5%). There are two main types of obstructive lesion: - parietal stenosing lesions, - compression lesions. - The most frequent parietal stenosing lesions, apart from those of the bladder neck, are urethral stenoses. - Stenoses with total compression of the capsule are often the cause of severe dysuria. - Localized compression of the capsule and urethral stenosis usually cause only moderate dysuria. - An irregular lacunar image should suggest cancer of the prostate.