Coined by Legueu and Dossot in 1931, the word ‘dysectasias’ encompasses all the faulty openings of the neck of the bladder. Besides prostatic lesions, there is no single ‘vesical prostatism’ – only disorders of the vesical neck leading to dysectasia. The clinical syndrome involves a progressive or acute dysuria, char- acterized by slowness in beginning micturition; sometimes pollakiuria; sometimes micturition in two phases (diverticulum); sometimes, unsuspected for a long time; chronic azotemia; conduct clinical-biological-radiological balance, negative of bladder : diverticular bladder; dilatation of upper apparatus; endoscopy, sometimes not needed, shows a trabecular bladder, incipient diverticula; raising of posterior lip of neck. Dysectasia may be congenital or acquired: It exists in the child, in the woman – often secondary to chronic factors of surroundings (progressive sclerosis). Treatment consists of opening the neck, endoscopic resection, simple fulguration in the female patient, endovesical ablation of the neck in the case of associated diverticula, and, finally, divulsion. Such are the therapeutic means to be discussed.

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