[Subvesical obstruction following chronic bacterial prostatitis]

Twenty-eight men below 50 years of age, presenting obstructive miction complaints subsequent to chronic bacterial prostatitis cure, are subjected to operation and follow-up study over a 6-year period. The test of Meares (1991) is used as a diagnostic method to rule out chronic bacterial prostatitis. The patients are distributed according to microbiological findings in the ejaculate in the stage of prostatitis treatment. Obstruction of the lower urinary tracts is diagnosed on the ground of past history data, uroflowmetry, residual urine assessment, miction cystourethrography and urethrocystoscopy under regional anesthesia. In nine cases (32.1 per cent) transurethral resection of the neck of the urinary bladder is performed, and in the remainder (19 cases or 67.9 per cent)--transurethral incision of the cervix vesicae at 5-7 hours. In the postoperative period, 75-89 per cent of patients are free of any miction complaints.