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Voiding dysfunction.

A Dörflinger¹, A Monga

¹Princess Anne Hospital, Urogynaecology, Southampton, UK. adorflinger@attglobal.net

Current Opinion in Obstetrics & Gynecology

|September 8, 2001

Summary

This summary is machine-generated.

Voiding dysfunction in women, often undiagnosed, has various causes. Prompt management, especially clean intermittent self-catheterization for chronic retention, is key for effective treatment.

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Area of Science:

Urology
Gynecology

Background:

Voiding dysfunction is a common condition in women, frequently presenting late with symptoms.
Its etiology is multifactorial, encompassing obstructive, postsurgical, neurological, and learned causes.

Purpose of the Study:

To review the causes, assessment, and management of voiding dysfunction in women.
To highlight the importance of prompt diagnosis and appropriate therapeutic interventions.

Main Methods:

Clinical assessment including history and physical examinations (general, neurological, pelvic).
Diagnostic investigations such as uroflowmetry, ultrasound, urodynamic assessment, and electromyography.
Review of surgical techniques and treatment options including bladder drainage, catheterization, urethral dilatation, and neuromodulation.

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Main Results:

Various factors contribute to voiding dysfunction, potentially leading to acute or chronic disorders.
New surgical approaches during hysterectomy may prevent postoperative voiding issues.
Clean intermittent self-catheterization is the most effective therapy for chronic urinary retention.

Conclusions:

Voiding dysfunction in women remains incompletely understood.
Timely management of acute urinary retention is crucial.
Clean intermittent self-catheterization is the primary treatment for chronic retention.