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Urge incontinence and detrusor instability.

C F Jabs1, S L Stanton

  • 1Department of Obstetrics and Gynaecology, St George's Hospital, London, UK. corrinejabs@Hotmail.com

International Urogynecology Journal and Pelvic Floor Dysfunction
|April 11, 2001
PubMed
Summary

Detrusor instability causes urinary frequency and incontinence due to involuntary bladder contractions. Treatments include bladder training, electrical stimulation, and medical or surgical options.

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Area of Science:

  • Urology
  • Neuroscience

Background:

  • Detrusor instability is characterized by urinary frequency, urgency, and urge incontinence.
  • It is diagnosed via urodynamic studies showing uninhibited bladder contractions.
  • Idiopathic cases comprise 90% of diagnoses, with 10% linked to neurological disorders.

Purpose of the Study:

  • To summarize the syndrome of detrusor instability.
  • To outline available treatment modalities.

Main Methods:

  • Urodynamic studies to document uninhibited bladder contractions.
  • Review of existing treatment options.

Main Results:

  • Detrusor instability is a common condition with diverse causes.
  • Multiple treatment avenues exist for managing symptoms.

Conclusions:

  • Detrusor instability requires urodynamic confirmation.
  • A range of treatments, from behavioral to surgical, are available for patients.

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