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Related Experiment Videos

Bladder function following rectal resections

A Fryjordet

    International Urology and Nephrology
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Urinary retention after rectal surgery can stem from bladder neck obstruction, often due to enlarged prostates, or from detrusor muscle insufficiency. Urodynamic testing identified these causes in 15 patients.

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    Area of Science:

    • Urology
    • Surgical Research
    • Medical Diagnostics

    Background:

    • Rectal resection surgery can lead to postoperative urinary retention.
    • Understanding the causes of urinary retention is crucial for effective patient management.

    Purpose of the Study:

    • To investigate the urodynamic causes of urinary retention in patients following rectal resection.
    • To identify specific bladder dysfunctions contributing to retention.

    Main Methods:

    • Urodynamic evaluation was performed on 15 patients experiencing urinary retention post-rectal resection.
    • Methods included cystometry and simultaneous measurement of bladder and abdominal pressures, along with flow rate.

    Main Results:

    • Five patients presented with bladder neck obstruction, frequently associated with pre-existing prostatic enlargement.

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  • Detrusor insufficiency was identified as the cause of retention in 6 patients.
  • Four patients exhibited no detectable bladder muscle function.

    • Conclusions:

    • Post-rectal resection urinary retention has multiple underlying causes, including bladder neck obstruction and detrusor insufficiency.
    • Urodynamic assessment is vital for diagnosing the specific etiology of urinary retention in this patient cohort.
    • Pre-existing prostatic enlargement is a significant factor in bladder neck obstruction.