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Do we understand voiding dysfunction in women? Current understanding and future perspectives: ICI-RS 2017
Jalesh N Panicker1, Ralf Anding2, Salvador Arlandis3
1Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery and UCL Institute of Neurology, Queen Square, London, United Kingdom.
Neurourology and Urodynamics
|August 23, 2018
Summary
Urinary retention in women is poorly understood. Research is needed to explore its causes, including inflammation and psychological factors, and to improve diagnosis and treatment with sacral neuromodulation.
Area of Science:
- Urology
- Neuroscience
- Psychology
Background:
- Urinary retention in women is less understood than in men.
- A 2017 International Consultation on Incontinence Research Society (ICI-RS) session focused on this condition.
Purpose of the Study:
- To review current understanding of female voiding dysfunction and urinary retention.
- To identify research gaps and propose future directions for diagnosis and treatment.
Main Methods:
- Review of pathophysiological correlates of idiopathic voiding dysfunction.
- Evaluation of urodynamics, neurophysiology, and non-invasive tests.
- Discussion of factors like urinary tract infections, psychological comorbidities, and sacral neuromodulation.
Main Results:
- Idiopathic voiding dysfunction, functional bladder outlet obstruction, and detrusor underactivity were reviewed.
- Pathogenesis factors including UTIs, inflammation, psychological trauma, and neurological overlap were discussed.
- An evaluation algorithm for women with voiding dysfunction was proposed.
Conclusions:
- Further research is essential to understand the pathogenesis of urinary retention in women.
- Investigating the enkephalinergic system and predictors for sacral neuromodulation is crucial.
- Improved understanding will lead to better treatment strategies for female urinary retention.
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