MENOPAUSE DISEASE AND BLADDER NECK SCLEROSIS
by
Georges Debled MD.
G. Debled. The
menopause disease.
Approaches
to aging control : 19:17-24,October
2015
The menopause
disease .pdf
Octobre 2015.
SEMAL Madrid
Aging of sexual organs and
its treatment
solution is
here
SCLEROSIS AND INFLAMMATION OF BLADDER NECK
Incontinence, urgencies, chronic cystitis and
devastating disorder of interstitial cystitis can be the
consequences of a bladder neck sclerosis and inflammation
(see drawings)
Numerous bladder neck scleroses in women are the
consequences of androgens’ deficiencies (mainly
dihydrotestosterone) before menopause (oral contraceptive)
or after menopause (menopause disease: see above).
Those bladder neck consequences (Incontinence,
urgencies, chronic cystitis and devastating disorder of
interstitial cystitis) due to androgens’ deficiencies may
improve with mesterolone. Results can be spectacular.
As urologist Georges Debled MD. has an experience
about bladder neck sclerosis (and its endoscopic surgery) in
woman since 40 years. The last 10 years he discovered the
role of dihydrotestosterone on the woman’s bladder neck and
the benefit effect of mesterolone on this pathology.
There exists no description of
mesterolone effect on bladder neck in the world literature.
Those findings are disclosed here for the first time.
URETHRA AND BLADDER NECK IN WOMAN
The urethra
is constituted from 3
parts approximately
from same length
(1
centimeter in adult woman) :
The inner part is constituted by a fibromuscular tissue in
continuity with the fibromuscular tissue of the bladder (bladder
neck).
The medium part is constituted by the sphincter.
The external part is a conduct.
The bladder neck is known in the medical literature, even in
medical books of great value, as the inner sphincter. As a
sphincter is a muscular structure contracted around a natural
orifice (red arrows) the bladder neck is not a sphincter.
Surrounding a natural orifice, it is not contracted and
its contraction leads to the opening
of its natural orifice on the contrary of a sphincter!
Fibrosis of the bladder neck can be congenital but a great
number of cases are acquired during life.
When opening (green arrows) the
bladder neck
doesn’t open well
and its maximum diameter is often less than 1 centimeter.
|
Bladder neck sclerosis (in green) with narrowing of
the urethra
|
Bladder neck sclerosis (in green) without narrowing
of the urethra
|
Moderate bladder neck sclerosis (striated in green)
without narrowing of the urethra
|
BLADDER NECK SCLEROSIS CONGESTION AND INFLAMATION IN WOMAN
|
Bladder neck sclerosis with congestion
|
Endoscopy of bladder neck sclerosis with congestion
|
|
Bladder neck
sclerosis with inflammation and inflammatory polyps
|
Endoscopy of bladder neck sclerosis
with
inflammatory polyps
|
INCIDE
Venous dilatations make the bladder neck congestive with and
abnormal sensitivity.NCE OF ADROGENS’DEFICIENCY ON WOMAN’S BLADDER NECK
Mesterolone only treatment has cured spectacularly a woman withh
bladder neck was congestive with abnormal sensitivity. Urologist
of this womann had
proposed an endoscopic surgery which was postponed thanks the
mesterolone treatment . This woman is free of symptoms sincee
more than 10
yearss.
ANATOMOPATHOLOGY OF BLADDER NECK SCLEROSIS IN WOMAN
|
Important sclerosis of bladder neck in woman
|
Normal musculature (in red) of bladder neck.
|
Sclerosis of bladder neck
(in green).
|
MECHANICAL
CONSEQUENCES OF A BLADDER NECK SCLEROSIS
|
Hypertrophy of bladder musculature
|
Hypertension in upper urinary tract
|
|
Weak bladder musculature
|
Bad function of kidneys (which are under pressure)
|
How to know if the is an hypertension in the upper urinary tract
?
EVOLUTION OF LOWER URINARY TRACT INFECTION
AFTER REMOVING
OF BLADDER NECK SCLEROSIS IN WOMAN
|
Immediately
after bladder neck resection of fibrous tissue inflammation
tissue may remains in the bladder wall or in anterior
urethra.
|
Immediately after bladder neck resection of fibrous
tissue inflammation tissue may remains in anterior urethra.
|
After bladder neck resection of fibrous tissue inflammation
disappears generally completely within 3 months.
|
|
Before bladder neck resection of fibrous tissue when opening
the bladder neck doesn’t open well and its maximum diameter
is often less than 1 centimeter.
|
|
Bladder neck after resection of fibrous tissue : right
|
Bladder neck after resection of fibrous tissue : left
|
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