intravesical hernia
Introduction
Introduction to internal hemorrhoids on the bladder The bladder is an extraperitoneal organ, which is adjacent to the pubic symphysis. The retropubic space is also called the anterior bladder space. The gap is filled with loose connective tissue and genital venous plexus. Behind the bladder, the male is adjacent to the rectum, and the female is adjacent to the uterus and the anterior wall of the vagina, with the posterior bladder gap. Men have seminal vesicles, vas deferens and other tissues. The bladder is covered with the peritoneum and adjacent to the intestinal fistula. If the intestinal fistula and peritoneum protrude into the posterior pubic space and the posterior bladder space, it is called the upper iliac crest. The internal hemorrhoids that occur in the posterior pubic sac are also called the anterior sacral iliac crest. basic knowledge The proportion of illness: 0.001% Susceptible people: no special people Mode of infection: non-infectious Complications: abdominal pain constipation sexual dysfunction intestinal obstruction
Cause
Causes of internal hemorrhoids on the bladder
The cause of the disease is unknown, and the presence of posterior pubic space and posterior bladder space is the anatomical basis of the disease. Most of the bladder internal hemorrhoids are due to the long-standing weak areas in the human body, which may become thinner with trauma or surgical incisions as they age. Weight lifting or dry weight physical activity can increase the severity of sputum. There are many factors that can cause illness, including actions or activities that add extra stress to the abdominal wall, such as: chronic cough or asthma, such as a cough in a smoker; obesity; abdominal force during urination; pregnancy; abdominal abdomen when lifting heavy objects force.
Prevention
Urinary fistula prevention
Suggested regular medical examinations can be used for early detection, and if it is clear, surgical treatment should be actively performed. At the same time, pay attention to develop a good habit of living, do more water, eat more fruits and vegetables, do not urinate, to a certain extent can reduce the incidence of this disease.
Complication
Bladder fistula complications Complications abdominal pain constipation dysfunction intestinal obstruction
First of all, affecting the patient's digestive system, resulting in lower abdominal bulge, hernia hazard, abdominal distension, abdominal pain, constipation, poor nutrition absorption, fatigue and physical decline. Because the inguinal region is adjacent to the genitourinary system, elderly patients are prone to bladder or prostate diseases such as frequent urination, urgency, and nocturia. Children can affect the normal development of the testes due to the compression of hernia; while young and middle-aged patients Easy to cause sexual dysfunction. Also, because the intestinal tract or omentum in the hernia sac is easily subjected to inflammatory swelling due to squeezing or collision, it is difficult to return the hernia, resulting in incarceration of hernia, as well as dangerous conditions such as intestinal obstruction, intestinal necrosis, and severe abdominal pain.
Symptom
Symptoms of internal hemorrhoids on the bladder Common symptoms Urinary urinary frequency, bladder irritation, abdominal pain, bloating
1. The symptoms of intestinal obstruction are small due to the hernia sac. The intestines that are invaded are often a single intestinal fistula. There are no obvious symptoms in the clinic. When the invagination occurs in the intestine, abdominal pain, bloating, vomiting and other symptoms of intestinal obstruction appear.
2. Bladder irritation symptoms When the intestine is incarcerated, the intestinal fistula swells and compresses the bottom of the bladder to cause frequent urination, urgency and other bladder irritation.
Examine
Examination of internal hemorrhoids on the bladder
1. X-ray examination of the fluoroscopy or abdominal plain film can show a fixed inflatable intestinal fistula close to the pubis.
2. Cystoscopy and cystography examination due to compression of the internal hemorrhoids, cystoscopy and cystography showed that the bladder wall protruded into the cavity.
Diagnosis
Diagnosis of internal hemorrhoids in the bladder
Clinical symptoms of lower abdominal pain and bladder irritation should be differentiated from urinary calculi and urinary tract infections.
