Categorization of Voiding Dysfunction

Wein, Alan J.; Moy, M. Louis

doi:10.1016/b978-1-4160-2339-5.50062-8

Cited by 9 publications

(11 citation statements)

References 14 publications

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“…We have found that the different questions for frequency, urgency, and nocturia may not give similar responses, therefore we have constructed composite measures which do not necessarily match the International Continence Society definitions [20]. Overactive bladder (OAB) was considered to be present if a respondent had frequency and urgency as defined above [21]. OAB was further characterized as OAB-wet if the respondent also reported leaking urine when they had the strong feeling of needing to empty the bladder, but couldn't get to the toilet soon enough, or as OAB-dry otherwise.…”

Section: Urologic and Sexual Symptomsmentioning

confidence: 99%

Beyond the Lower Urinary Tract: The Association of Urologic and Sexual Symptoms with Common Illnesses

et al. 2007

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Objective-In addition to being prevalent and bothersome, urologic and sexual symptoms may be related to chronic medical illnesses. We investigate the relationship between ten urologic and sexual symptoms and four major illnesses (type II diabetes, cardiac disease, hypertension, and depression).Methods-We analyze data from the Boston Area Community Health (BACH) Survey, a community-based epidemiologic study of urologic symptoms and risk factors. BACH used a twostage stratified cluster sampling design to recruit 5,506 adults aged 30-79 (2,301 men, 3,205 women; 1,770 Black, 1,877 Hispanic, and 1,859 White respondents).Results-In bivariate analyses, most urologic and sexual symptoms are associated with type II diabetes, cardiac disease, hypertension, and depression. However, in multivariate models adjusting for all four illnesses, gender, race/ethnicity, age, alcohol intake, smoking, physical activity, and body mass index there were fewer significant associations. We found that all urologic symptoms were significantly related to at least one illness, with depression increasing the odds of all urologic and sexual symptoms studied.Conclusions-Urinary tract specialists may need to give greater weight to consideration of factors outside the urinary tract that may be contributing to urologic symptoms. It remains unknown whether treatment of medical and psychological illnesses can result in meaningful improvement in urologic symptoms, or conversely, whether urinary tract symptoms can provide valuable insight into an individual's overall health status. Keywords epidemiology; diabetes; hypertension; cardiac disease; depression; lower urinary tract symptoms; painful bladder syndrome; urinary incontinence; prostatitis; overactive bladder; frequency; urgency; nocturia; erectile dysfunction; female sexual dysfunction Corresponding author: Dr. Carol L. Link, New England Research Institutes, 9 Galen Street, Watertown, MA 02472, USA, Telephone: (1) 617-923-7747, Fax: (1) 617-926-8246, clink@neriscience.com. Take-home message Urological and sexual symptoms are significantly associated with depression, and to a lesser extent with cardiac disease, type II diabetes, and hypertension. Providers may need to look beyond the bladder and lower urinary tract to understand and/or treat presenting symptoms.

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Section: Urologic and Sexual Symptomsmentioning

confidence: 99%

Beyond the Lower Urinary Tract: The Association of Urologic and Sexual Symptoms with Common Illnesses

et al. 2007

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“…Micturition involves two important, yet discrete processes: (i) bladder filling and storage and (ii) bladder emptying (10). Normal bladder capacity is 300-400 ml of urine (9).…”

Section: Pathophysiology Of Oabmentioning

confidence: 99%

A practical guide to the evaluation and treatment of male lower urinary tract symptoms in the primary care setting

Rosenberg¹,

Staskin

Kaplan

et al. 2007

International Journal of Clinical Practice

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Summary Aims: Lower urinary tract symptoms (LUTS) are common in both men and women, and are among the most prevalent patient complaints heard by primary care physicians (PCPs). This article aims to provide PCPs with a logical algorithm for the assessment and initiation of treatment for LUTS in the male patient. Results: Management of LUTS involves a focused history and physical, as well as the assessment of bother. In patients for whom treatment is warranted, a series of decisions regarding therapy should be considered. Male patients commonly suffer from storage and/or voiding symptoms. Treatment of male LUTS is commonly begun with agents that are aimed at remedying the outlet symptoms of benign prostatic hyperplasia (BPH). When this intervention is ineffective or when refractory symptoms persist, consideration should be given to treating the storage symptoms characteristic of overactive bladder (OAB). Discussion: This article is intended to provide the PCP with a logical guide to the treatment of male LUTS. Benign prostatic hyperplasia and OAB predominate among the causes of these symptoms, and the PCP should be comfortable treating each. Recent data detailing the safety of the use of these treatments in the male patient are reviewed and incorporated into the algorithm. Conclusion: Primary care physicians are in a unique position to successfully identify and treat male patients with LUTS. With this paper, they now have a tool to approach treatment logically and practically.

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“…Inadequate detrusor contractility, increased bladder neck resistance, prostatic urethral obstruction in men, as well as inadequate relaxation of the periurethral striated muscles will result in failure to empty. Overactive bladder, an incompetent bladder neck, or an incompetent urethral sphincter, on the other hand, may result in failure to store [3].…”

Section: Normal Micturition Functionmentioning

confidence: 97%

Bladder Neck Dysfunction in Spinal Cord Injury

Kuo

2011

Curr Bladder Dysfunct Rep

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Spinal cord injury (SCI) impairs the voluntary and autonomic control of storage and emptying functions of the urinary bladder, leading to a marked remodulation of the micturition reflex. Autonomic dysreflexia (AD) is found in SCI patients with a lesion level above T6. The occurrence of AD in SCI patients may also result in bladder neck dysfunction, which is often associated with AD and may cause bladder neck obstruction or inhibit detrusor contractility. Patients with bladder neck dysfunction may present with normal or underactive detrusor contractility, resulting in inefficient bladder emptying and prolonged AD. Using videourodynamic study, bladder neck dysfunction can be clearly demonstrated as a narrow bladder neck associated with a narrow external urethral sphincter and normal detrusor contractility. Medical treatment with α-adrenergic agents is the first-line treatment for patients with bladder neck dysfunction. If medical treatment fails, transurethral incision of the bladder neck is indicated to relieve bladder outlet obstruction and to resume spontaneous detrusor contractility.

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Categorization of Voiding Dysfunction

Cited by 9 publications

References 14 publications

Beyond the Lower Urinary Tract: The Association of Urologic and Sexual Symptoms with Common Illnesses

Beyond the Lower Urinary Tract: The Association of Urologic and Sexual Symptoms with Common Illnesses

A practical guide to the evaluation and treatment of male lower urinary tract symptoms in the primary care setting

Bladder Neck Dysfunction in Spinal Cord Injury

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