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Female voiding dysfunction.

Lawrence O Olujide1, Suzanne M O'Sullivan

  • 1Department of Obstetrics and Gynaecology, Royal Bournemouth Hospital, Castle Lane East, Bournemouth, Dorset BH7 7DW, UK. lawrence@olujide.freeserve.co.uk

Best Practice & Research. Clinical Obstetrics & Gynaecology
|September 13, 2005
PubMed
Summary

Female voiding dysfunction lacks clear definitions and management consensus, impacting quality of life. Intermittent self-catheterisation with nursing support is the primary treatment, requiring a multidisciplinary approach.

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Area of Science:

  • Urology
  • Gynecology
  • Urogynecology

Background:

  • Female voiding dysfunction is poorly understood, lacking standard definitions and diagnostic criteria.
  • Idiopathic causes are common in neurologically intact women, significantly affecting quality of life.
  • Limited literature exists on effective management strategies for this prevalent condition.

Purpose of the Study:

  • To review current knowledge on the management of female voiding dysfunction.
  • To discuss diagnostic approaches, including aetiological factors, history, and physical examination.
  • To outline essential investigations for guiding management.

Main Methods:

  • Review of existing literature on female voiding dysfunction management.
  • Discussion of diagnostic methods and aetiological factors.

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  • Evaluation of current and emerging treatment modalities.

    • Main Results:

    • Medical treatments have shown disappointing results; surgical options are limited.
    • Intermittent self-catheterisation, with dedicated nursing support, is the cornerstone of management.
    • Emerging therapies include neuromodulation, alpha(1)-blockers, and Botulinum toxin A, with limited published data on effectiveness.

    Conclusions:

    • A multidisciplinary approach is crucial for successful management of female voiding dysfunction.
    • Further high-quality research is needed to evaluate the effectiveness of emerging interventions.
    • Female voiding dysfunction poses a significant challenge for urogynaecologists and urologists.