Desire to void and force of micturition in patients with intestinal bladders.
Desire to void and force of micturition in patients with intestinal bladders.
复制标题
肠膀胱患者的排尿欲望和排尿力。
DOI：
10.1016/s0022-5347(01)66221-9
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
M. Foda
中科院分区：
文献类型：
--
作者：
M. Koraitim;M. Atta;M. Foda
目的探讨原位膀胱患者对排尿欲望和排尿力的感知。材料与方法24例膀胱移行细胞癌术后膀胱替代术患者，（回盲部12例，乙状结肠6例，回肠6例）通过压力-结果20例（83%）男性在阴茎根部或会阴部感觉到排尿欲望。腹部压力的回盲部，乙状结肠和回肠neoblads.ConclusionsPatients感知的愿望时，尿滴泄漏到近端尿道从一个过度充盈的neoblads.ConclusionsPatients认为，无效的51%至54%，20%至24%，23%至25%的内水库压力。回肠新膀胱主要通过腹部拉紧排空尿液，乙状结肠新膀胱主要通过收缩排空尿液，回盲部新膀胱主要通过收缩和拉紧排空尿液。
PurposeWe attempted to determine how patients with an orthotopic bladder perceive the desire to void and the force achieved to evacuate the bladder.Materials and MethodsA total of 24 men who had undergone post-cystectomy bladder substitution (ileocecal in 12, sigmoid in 6 and ileal in 6) was evaluated subjectively and objectively by pressure-flow study 1 to 3 years postoperatively.ResultsDesire to void was felt at the base of the penis or in the perineum by 20 men (83 percent). Abdominal pressure contributed to intra-reservoir pressure by 51 to 54 percent in ileocecal, 20 to 24 percent in sigmoid and 23 to 25 percent in ileal neobladders.ConclusionsPatients perceive the desire to void when drops of urine leak into the proximal urethra from an overfilled neobladder. Urine is evacuated mainly by abdominal straining for ileal neobladders, mainly by contraction for sigmoid neobladders, and by approximately equal contributions of contraction and straining for ileocecal neobladders.