What are the symptoms of bladder outlet obstruction in women?

Female bladder outlet obstruction is quite common in life. It is also called bladder neck sclerosis or bladder neck spasm. It is a common disease in elderly women. The older the age, the higher the incidence rate. If it is not well treated, it can easily lead to dilatation of the upper urinary tract and even cause hydronephrosis. It has a great harm to the patient's kidney function and there are many symptoms, such as thinning urine flow, difficulty urinating, dribbling urine, etc.

What are the symptoms of bladder outlet obstruction in women?

This disease can occur at any age, but is more common in the elderly. The older the age, the higher the incidence rate. The incidence rate in female patients is mostly over 30 years old, and it mostly occurs in married women who have given birth. It accounts for 2.7% to 8.0% of abnormal urination diseases in women. It is mainly characterized by progressive dysuria, manifested by delayed urination, thinning urine flow, difficulty in urination, dripping urine, and gradually the appearance of residual urine, urinary retention and overflow incontinence.

Causes

The cause of bladder neck obstruction in women is not fully understood. 1. It may be caused by inflammation, non-inflammatory or aging phenomena, such as hyperplasia of bladder neck fibrous tissue, hypertrophy of bladder neck muscles, sclerosis caused by chronic inflammation, and hyperplasia of periurethral glands caused by hormonal imbalance in elderly women. 2. Severe bladder neck obstruction can cause difficulty in urination or even urine retention, which in the long term can cause hydronephrosis and produce the same symptoms and results as male prostatic hyperplasia. 3. Because fibroblasts that form collagen were found in the structure of local tissues, it is speculated that this disease is a connective tissue disease. 4. Congenital malformations, especially poor structure of the bladder neck nerves and muscles: early nerve damage; secondary formation of bladder neck sclerosis after vaginal, urethral, ​​and bladder neck surgery, etc.

prevention

This disease mostly occurs in middle-aged and elderly women, which may be related to the decrease in estrogen levels, the atrophy of the urethral vaginal epithelium, and the reduced resistance, which makes it easy to suffer from repeated infections. 1. Take a small amount of long-acting estrogen for a long time to replenish the estrogen content in the body. 2. Pay attention to personal hygiene, especially the cleanliness of the perineum during menstruation and postpartum period. 3. Resect the hyperplastic part of the posterior lip of the bladder neck to a depth that is level with the triangular area, and avoid excessive electrocautery to prevent scar stenosis again after the operation. Do not cut the cervical sphincter too deeply to cause urinary incontinence. After the operation, the urethra should be dilated regularly until the urine stream becomes thick and stable. 4. Strengthen physical fitness and improve your immunity; pay attention to the combination of work and rest, participate in more physical exercises; eat more fresh fruits and vegetables rich in vitamins.