婦人科的腫瘍による排尿困難の3治験例

Abstract

Three cases of dysuria secondary to gynecological tumors are presented. The first case was a 62-year-old widow who had an acute onset of urinary retention. The exploration revealed freely movable bilateral ovarian tumors (Brenner's tumor). The tumor at right side was larger weighing 190 g and was thought to cause urinary retention by pressing bladder neck. There were two other cases with uterine myomata. One was a 39-year-old female with a 2 to 3-month history of dysuria and urinary frequency. The other was a 47-year-old housewife with a 6-month history of dysuria, urinary frequency, constipation and feeling of incomplete voiding. All three patients received successful removal of tumors which has brought down dramatic improvement of dysuria. Discussions were carried out on the mechanism, incidence, differential diagnosis and treatment regarding dysuria due to gynecological tumors. The importance of a bimanual pelvic examination in all the female patients with the symptoms of lower urinary tract obstruction was emphasized.