Current concepts in voiding dysfunction and dysfunctional voiding: A review from a urogynaecologist's perspective

Debjyoti Karmakar, Jai B Sharma, Debjyoti Karmakar, Jai B Sharma

Abstract

Background: Female voiding dysfunction is a complex disorder, lacks definition, and is poorly understood and difficult to manage.

Causes of female voiding dysfunction: As there is no agreed classification of female voiding dysfunction, it is important to identify the several potential factors that might cause voiding dysfunction, namely anatomic, neurogenic, pharmacologic, endocrine, pharmacological and other causes.

Presentation and clinical evaluation: Traditional and novel techniques are available and the importance and diagnostic dilemma related to these conditions need to be understood. We conclude by emphasizing the need to simplify the diagnosis and nomenclature of these conditions from a more clinical point of view as against an investigational perspective.

Keywords: Dysfunction; review; urogynaecologist; voiding.

Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Olujide LO, O'Sullivan SM. Female voiding dysfunction. Best Pract Res Clin Obstet Gynaecol. 2005;19:807–28.
    1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21:167–78.
    1. Stanton SL, Ozsoy C, Hilton P. Voiding difficulties in the female: Prevalence, clinical and urodynamic review. Obstet Gynecol. 1983;61:144–7.
    1. Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21:5–26.
    1. Beer E. Chronic retention of urine in children. JAMA. 1915;65:1709.
    1. Allen TD, Bright TC., 3rd Urodynamic patterns in children with dysfunctional voiding problems. Trans Am Assoc Genitourin Surg. 1977;69:12–4.
    1. Nevéus T, von Gontard A, Hoebeke P, Hjälmås K, Bauer S, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Report from the Standardisation Committee of the International Children's Continence Society. J Urol. 2006;176:314–24.
    1. Chung JM, Lee SD, Kang DI, Kwon DD, Kim KS, Kim SY, et al. Korean Enuresis Association. An epidemiologic study of voiding and bowel habits in Korean children: A nationwide multicenter study. Urology. 2010;76:215–9.
    1. Groutz A, Blaivas JG, Chaikin DC. Bladder outlet obstruction in women: Definition and characteristics. Neurourol Urodyn. 2000;19:213–20.
    1. Dwyer PL, Desmedt E. Impaired bladder emptying in women. Aust N Z J Obstet Gynaecol. 1994;34:73–8.
    1. Groutz A, Blaivas JG, Pies C, Sassone AM. Learned voiding dysfunction (non-neurogenic, neurogenic bladder) among adults. Neurourol Urodyn. 2001;20:259–68.
    1. Axelrod SL, Blaivas JG. Bladder neck obstruction in women. J Urol. 1987;137:497–9.
    1. Massey JA, Abrams PH. Obstructed voiding in the female. Br J Urol. 1988;61:36–9.
    1. Nitti VW, Tu LM, Gitlin J. Diagnosing bladder outlet obstruction in women. J Urol. 1999;161:1535–40.
    1. Carlson KV, Rome S, Nitti VW. Dysfunctional voiding in women. J Urol. 2001;165:143–7.
    1. Urological nursing, Sharon Fillingham, Jean Douglas; Baillière Tindall. 2004. May 11,
    1. Naish W. An overview of female voiding dysfunction. Nurs Stand. 2008;22:49–57.
    1. Groutz A, Blaivas JG. Non-neurogenic female voiding dysfunction. Curr Opin Urol. 2002;12:311–6.
    1. Elbadawi A, Yalla SV, Resnick NM. Structural basis of geriatric voiding dysfunction. III. Detrusor overactivity. J Urol. 1993;150:1668–80.
    1. Deindl FM, Vodusek DB, Bischoff C, Hofmann R, Hartung R. Dysfunctional voiding in women: Which muscles are responsible? Br J Urol. 1998;82:814–9.
    1. Osman NI, Chapple CR. Fowler's syndrome - a cause of unexplained urinary retention in young women? Nat Rev Urol. 2014;11:87–98.
    1. Romanzi LJ, Chaikin DC, Blaivas JG. The effect of genital prolapse on voiding. J Urol. 1999;161:581–6.
    1. Phelan MW, Franks M, Somogyi GT, Yokoyama T, Fraser MO, Lavelle JP, et al. Botulinum toxin urethral sphincter injection to restore bladder emptying in men and women with voiding dysfunction. J Urol. 2001;165:1107–10.
    1. Wang KH, Wang KH, Neimark M, Davila GW. Voiding dysfunction following TVT procedure. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13:353–7.
    1. Goldstein I, Siroky MB, Sax DS, Krane RJ. Neurourologic abnormalities in multiple sclerosis. J Urol. 1982;128:541–5.
    1. Andersen LF, Agner T, Walter S, Hansen JM. Micturition pattern in hyperthyroidism and hypothyroidism. Urology. 1987;29:223–4.
    1. Krane RI, Siroky MB. Classification of neuro-urologic disorders. In: Krane RI, Siroky MB, editors. Clinical neuro-urology. Boston: Little Brown; 1979. pp. 143–58.
    1. Bellina JH, Schenck D, Millet AH, Denicola CM, Kelly R, Cook A. Outflow uropathy: Occupational disorder? J La State Med Soc. 1999;151:414–9.
    1. Sinha S. Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults. Indian J Urol. 2011;27:437–47.
    1. Kuo HC. Satisfaction with urethral injection of botulinum toxin A for detrusor sphincter dyssynergia in patients with spinal cord lesion. Neurourol Urodyn. 2008;27:793–6.
    1. Glassberg KI, Combs AJ. Nonneurogenic voiding disorders: What's new? Curr Opin Urol. 2009;19:412–8.
    1. Arya LA, Banks C, Gopal M, Northington GM. Development and testing of a new instrument to measure fluid intake, output, and urinary symptoms: The questionnaire-based voiding diary. Am J Obstet Gynecol. 2008;198:559e.1–7.
    1. Park S, Hong B, Lee KS, Choo MS. Risk factors of voiding dysfunction and patient satisfaction after tension-free vaginal tape procedure. J Korean Med Sci. 2005;20:1006–10.
    1. Chassagne S, Bernier PA, Haab F, Roehrborn CG, Reisch JS, Zimmern PE. Proposed cutoff values to define bladder outlet obstruction in women. Urology. 1998;51:408–11.
    1. Wyndaele JJ. Investigating afferent nerve activity from the lower urinary tract: Highlighting some basic research techniques and clinical evaluation methods. Neurourol Urodyn. 2010;29:56–62.
    1. Wein AI, Rovner ES. Pathophysiology and classification of voiding dysfunction. Voiding Dysfunction, Current Clinical Urology. :3–24. Appell, Rodney A. Pathophysiology and Classification of Voiding Dysfunction Humana Press, 2000-01-01, Wein, Alan J. Rovner, Eric S.

Source: PubMed

3
Abonnere