[Value of radiological investigations in patients with dysuria after prostatic adenomectomy (author's transl)].
Dysuria is a relatively frequent complication after prostatic adenomectomy. The authors review 107 patients with this complication and demonstrate that radiological investigation, including a micturition study, preferably after IVU, shows the presence of an obstructive cause for the dysuria in the vast majority of cases (92.5%). There are two main types of obstructive lesion: - parietal stenosing lesions, - compression lesions. - The most frequent parietal stenosing lesions, apart from those of the bladder neck, are urethral stenoses. - Stenoses with total compression of the capsule are often the cause of severe dysuria. - Localized compression of the capsule and urethral stenosis usually cause only moderate dysuria. - An irregular lacunar image should suggest cancer of the prostate.
D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D011470:Prostatic Hyperplasia / Q000601:surgery*; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging; D011859:Radiography; D014525:Urethral Stricture / Q000000981:diagnostic imaging / Q000209:etiology; D014555:Urination Disorders / Q000000981:diagnostic imaging* / Q000209:etiology
Intérêt de l'exploration radiologique chez les adénomectomisés dysuriques.