Subvesicular obstruction in the girl and in the women. 1. Etiology, forms, diagnosis
Festge, B.; Festge, O.A.
Zentralblatt für Gynakologie 104(14): 833-844
1982
ISSN/ISBN: 0044-4197 PMID: 6890284 Document Number: 192132
An account is given of aetiological and pathophysiological peculiarities related to various forms of subvesical obstructions in girls and women. There are obstructions with morphologically visible background, but great importance should be attributed also to neuromuscular functional disorders. Clinical symptoms reflect secondary pathological mechanisms of function. On top of endoscopy, radiography, and urethral calibration, closest attention should be given to urodynamic approaches to the diagnosis of subvesical obstructions. Measurement of bladder pressure and urine flow together with calculation of urethral flow resistance, and preparation of pressure-flow diagrams should be undertaken simultaneously for better assessment of the functional extent and severity of subvesical obstruction in the patient concerned. This will provide information needed for compensation or decompensation of the disorder.