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ID:48354267
大小:192.00 KB
页数:22页
时间:2019-11-25
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1、Urology.Mayradiateinaccordancewithinnervationofthestructureinvolved・Kidneypain:intherenalangle(betweenthelowerborderofthe12thribandthespine)・Uretericpain:betweentherenalangleandthegroin.Bladderpain:inthesuprapubic[?sju:pr9fpju:bik耻骨弓上的region.Prostaticpain:intheperine
2、umbutmayradiatealongtheurethratothetipofthepenis.Mayberelatedtofunction,c.g.suprapubicpainexacerbatedbybladderfilling・Haematuria(macroscopic)Frequentlyasinistersymptomofmalignantdisease,especiallythebladder,whenitisnormallypainless・Whenassociatedwithpainfulvoidingisu
3、suallyduetobladderinfectionorstones・LowerurinarytractsymptomsReferstoagroupofsymptomsthattypicallyaffecttheageingmale.Oftencausedbybladderoutflowobstmetionrelatedtoprostaticenlargement.Includessymptomsrelatedtobothvoidingandstorage.Voidingsymptoms:poorurineflow,hesit
4、ancy,post-micturitiondribbling・Storagesymptoms:frequency,nocturia,urgency,urgeincontinence.Internationalprostatesymptomscore(IPSS)isavalidatedquestionnairetoestimatethepatient'sperceptionofseverityofsymptoms.Urinaryincontinence:Affectswomenmorecommonlythanmen.Stressi
5、ncontinence:urineleakagethatoccursattimesofincreasedintravesicalpressure,e.g.duringcoughing,sneezing,lifting・Resultsfromincompetenceofurethralsphincterandbladderneckmechanism・Usuallyrelatedtopregnancyandchildbirth・Urgeincontinence:urineleakagethatoccursinassociationw
6、ithastrongdesiretovoid.Urineleaksfromthebladderbeforethepatientisabletoreachatoilet.Usualcauseisovcractivityofthedetrusormuscle・Maybeidiopathicorsecondarytootherbladderdisease.Stressandurgeincontinencefrequentlycoexist.Insensibleurineleakage:occurswithoutanyassociate
7、dsymptoms.Urineleaksfromthebladdercontinuouslyandthepatientissometimesunaware・Causes:overflowincontinencefromchronicretention,fistulation(commonlybetweenbladderandvagina),grosssphincterdisturbanceresultingfromsurgeryorneurologicaldisease・Erectiledysfiinction(ED),comm
8、onlyknownasimpotence・Inabilitytoattainandmaintainanerectionadequateforsatisfactorysexualintercourse.MenwithincompleteEDrespondmores
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