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Published on: August 28, 2020
[Lower urinary tract dysfunction and non-neurogenic neurogenic bladder or "dysfunctional voiding"].
X Game1, E Chartier-Kastler, A Ruffion
1Service d'urologie, Centre hospitalo-universitaire de Toulouse, France. game.x@chu-toulouse.fr
Dysfunctional voiding, previously termed "non-neurogenic neurogenic bladder," causes severe urinary issues without clear anatomical or neurological causes. This review details its syndromes, diagnostic methods, and treatment strategies.
Area of Science:
- Urology
- Neuro-urology
- Pelvic floor dysfunction
Background:
- Severe lower urinary tract dysfunction can occur without identifiable anatomical or neurological causes.
- These conditions were formerly known as "non-neurogenic neurogenic bladder."
Purpose of the Study:
- To describe the characteristics of major dysfunctional voiding syndromes.
- To outline appropriate assessment protocols for these conditions.
- To review available treatment options for dysfunctional voiding.
Main Methods:
- Literature review of dysfunctional voiding syndromes.
- Analysis of diagnostic criteria and assessment tools.
- Synthesis of current treatment modalities.
Main Results:
- Dysfunctional voiding encompasses several distinct clinical syndromes.
- Comprehensive assessment involves urodynamics and clinical evaluation.
- Treatment requires a multidisciplinary approach, often including behavioral therapy and pharmacotherapy.
Conclusions:
- Dysfunctional voiding is a recognized cause of lower urinary tract symptoms.
- Accurate diagnosis and tailored treatment are crucial for patient management.
- Further research is needed to optimize therapeutic strategies.
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