Functional obstructed voiding in the neurologically normal patient

Smith, Phillip P.; Appell, Rodney A.

doi:10.1007/s11884-006-0016-2

Cited by 2 publications

(2 citation statements)

References 64 publications

(77 reference statements)

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“…In addition to obstructive symptoms, women with dysfunctional voiding normally have higher prevalence of storage symptoms such as frequency, nocturia and urgency (43). The average age at presentation is around 40 years (44). Video-urodynamics may show the level of obstruction at the external sphincter or pelvic floor.…”

Section: Discussionmentioning

confidence: 99%

Urinary retention

2013

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Urinary retention, defined as the inability to void, is a common medical problem. If unidentified and/or untreated, it may become a serious condition that can lead to kidney damage or urosepsis, compromising the patient's life. Acute urinary retention (AUR) is usually easy to identify and to treat as patients usually complain of hypogastric pain and anuria. Proper bladder drainage with urethral or suprapubic catheter is the first line of treatment, with posterior studies to determine the cause of retention. Chronic urinary retention (CUR) is often much more difficult to identify. It is invariably linked to increased post-void residual urine (PVR), but its asymptomatic nature makes it often a hidden condition. There is a wide range of intrinsic and extrinsic, obstructive and non-obstructive causes affecting the lower urinary tract, which can lead to urinary retention. Due to the differences in urinary physiology and in order to simplify diagnosis and management, these are usually studied separately in men and in women. Management consists of a variety of options depending on the cause of retention, including conservative treatment, drug therapy and several forms of surgery.  In this review, we make an overview of the main causes of acute and chronic urinary retention in men and women, focusing on the main aspects of diagnosis and management.

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Section: Discussionmentioning

confidence: 99%

Urinary retention

2013

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“…It has been suggested that FS may result from ‘maladaptive behaviour’ and could be a form of dysfunctional voiding . However, a diagnosis of FS implies that the patient has CRDs and DB activity in their urethral sphincter, as this is the whole basis of FS .…”

Section: Discussionmentioning

confidence: 99%

External urethral sphincter electromyography in asymptomatic women and the influence of the menstrual cycle

et al. 2015

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CRDs and DB activity in the external striated urethral sphincter is present in a high proportion of asymptomatic young women. This abnormal EMG activity has been shown for the first time to change during the menstrual cycle in individual women. CRDs and DBs are more commonly found in the luteal phase of the menstrual cycle. The importance of CRDs and DBs in the aetiology of urinary retention in young women remains uncertain. The distribution and or quantity of abnormal EMG activity in the external urethral sphincter may be important. In a woman with urinary retention the finding of CRDs and DBs by needle EMG does not automatically establish Fowler's syndrome as the explanation for the bladder dysfunction. Urethral pressure profilometry may be helpful in establishing a diagnosis. Opiate use and psychological stress should be considered in young women with urinary retention.

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Functional obstructed voiding in the neurologically normal patient

Cited by 2 publications

References 64 publications

Urinary retention

Urinary retention

External urethral sphincter electromyography in asymptomatic women and the influence of the menstrual cycle

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