Female bladder neck obstruction, also known as female “prostate disease” or bladder neck contracture. It is a common occurrence in older women. The older the woman, the higher the incidence. If left untreated, it can lead to dilatation of the upper urinary tract, hydronephrosis and renal impairment in the late stages. In the early stage, there is slow urination, thin urine flow and short projection, which gradually develops into strained urination, dripping and often a sense of incomplete urination. In the later stage, residual urine gradually increases or even urinary retention, often accompanied by lumbar pain and lumbosacral pain. It is often accompanied by lumbar pain, lumbosacral pain, umbilical and lower abdominal cramps, etc. The disease occurs mostly in middle-aged and older women, probably related to the reduced level of estrogen and the reduced resistance of the urethrovaginal epithelium to atrophy and easy to suffer repeated infections.
The main prevention methods of bladder neck obstruction in women are as follows.
1.Take a small amount of long-acting estrogen for a long time to supplement the estrogen content in the body.
2, pay attention to personal hygiene, especially the cleanliness of the perineum during menstruation and puerperium.
3, Excision of the posterior lip of the bladder neck hyperplasia its depth cut to the level of the triangle, avoid excessive electrocautery to avoid postoperative scar stenosis again. Do not cut the neck sphincter too deeply to cause incontinence, and the urethra should be dilated regularly after surgery until the urinary line is thick and stable.
4, enhance physical fitness, improve their immunity; pay attention to the combination of work and rest, participate in more physical exercise; eat more fresh fruits and vegetables rich in vitamins.
Female patients with bladder neck obstruction should use effective antibiotics to control infection as early as possible, and operate as soon as possible when internal conservative is ineffective to protect renal function.