Symptoms of bladder neck contracture

summary

Bladder neck contracture is another important problem of bladder neck obstruction. The so-called bladder neck refers to a tubular structure extending about 1-2 cm from the internal orifice of urethra to the urethra. It includes the internal sphincter, but the internal sphincter is not all of the bladder neck. So, let's take a look at the related knowledge about the symptoms of bladder neck contracture.

Symptoms of bladder neck contracture

First: dysuria, dysuria, segmented micturition, crying in children, urine dripping, and sometimes reflexive micturition. When combined with urinary tract infection, the above symptoms are more obvious. During physical examination, the bladder may swell in the lower abdomen, but it is not always obvious.

Second, it is better to use cystourethoscope or omnipotent cystoscope to check the bladder and the internal condition of urethra. Through this examination, it can be found that the posterior urethra is very tight when the cystoscope is placed, but it can still be placed. During the examination, the posterior edge of the internal orifice of urethra is slightly protruding, the triangle area is also relatively protruding, and most trabecular pits can be seen. The ureteral orifice is often seen, Other lesions in the bladder and urethra, such as bladder diverticulum, hypertrophy of ureteral spine, bladder tuberculosis, urethral stricture, posterior urethral membrane and hypertrophy of seminal caruncle, can be excluded.

Third, plain film can exclude the positive calculus of urinary system. Intravenous pyelography is very important to understand the general situation of renal function on both sides. Because this disease is a long-term lower urinary tract obstruction, especially in congenital cases, the upper urinary system on both sides is often significantly enlarged, especially the ureters on both sides can be thickened, such as intestinal tube. After removing the pressure abdominal belt, the bladder neck can be seen to protrude slightly into the bladder, This point is of great significance in the diagnosis of this disease. Because of the lower urinary tract obstruction caused by posterior urethral stricture or valve, there is often no such change, and sometimes there is funnel-shaped change in the internal orifice of urethra, which can be differentiated from this disease.

matters needing attention

1. Keep a happy mood, optimistic, open-minded spirit, strong confidence to overcome the disease. 2. Pay attention to keep enough sleep, avoid overwork, pay attention to the combination of work and rest, pay attention to the regularity of life. 3. Reasonable diet, diet should be light, avoid spicy food.