[Subvesicular obstruction in the girl and the female. 2. Therapy]

Treatment of subvesical obstructions in girls and women is indicated by specific clinical symptoms and secondary changes in the upper urinary tract. Relative urgency in time should be decided by urodynamic measurement of quantitative severity of the given voiding disorder. - In cases of distal urethral stenosis, good results proved to be obtainable from dilatation and urethrotomy. Hormonal treatment and chemotherapy may be used as flanking approaches. Conservative action should be given priority for all forms of neuromuscular bladder outlet obstructions. Several groups of pharmaceuticals are available for conservative treatment, once causes have been elucidated. In patients the micturitional disorders due to faulty micturitional education, growing importance must be attached to methods aimed at positive biofeedback mechanisms. Surgical action comes at the bottom of the therapy list for patients with neuromuscular subvesical obstructions.