Etiology, Pathogenesis, And Management Options Of Infra-Vesical Obstruction Due To Benign Prostatic Hyperplasia, Urinary Bladder Stone, Or Both: Review Article | ||||
SVU-International Journal of Medical Sciences | ||||
Article 40, Volume 5, Issue 2, July 2022, Page 401-409 PDF (173.57 K) | ||||
Document Type: Reviews Articles. | ||||
DOI: 10.21608/svuijm.2021.66062.1107 | ||||
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Authors | ||||
Ahmed Mahmoud Hassan; Mostafa Abdel Razek; Omar Mohammed Elsoghier; Ahmad Abdeen Ahmad ; Atef Fathi Ali; Gamal A. Alsagheer | ||||
Urology Department, Faculty of Medicine, South Valley University, Qena, Egypt. | ||||
Abstract | ||||
Background: Urinary bladder stones may be a primary stone formed in the urinary bladder or migrating calculus from the upper urinary tract. Bladder stones become more symptomatic when associated with infra-vesical obstruction.The most common cause of infra-vesical obstruction in elderly men is benign prostatic hyperplasia. Benign prostatic hyperplasia can be identified clinically by a complex of symptoms. These symptoms, known as lower urinary tract symptoms, range from incomplete emptying, weak stream, nocturia, and increased urinary frequency, and can potentially progress to urinary urge incontinence and urinary retention. About 35% of elderly men above fifty years will seek medical advice and have medical treatment for infra-vesical obstruction. About 24% of patients with mild to moderate LUTS will undergo surgical management for BPH. The strong association between infra-vesical obstruction due to benign prostatic hyperplasia and urinary bladder stones has led to the dogma that any BPH associated with bladder stones should be managed surgically. This study aims to review the etiology, pathogenesis, and management options of infra-vesical obstruction caused by BPH, urinary bladder stones, or both. We have searched literature in the American National Center for Biotechnology Information (NCBI), PubMed, Google scholar, Egyptian bank of knowledge,and science direct. | ||||
Keywords | ||||
Bladder stones; cystolitholapaxy; benign prostatic hyperplasia; transurethral resection of the prostate | ||||
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