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Psychogenic voiding patterns

H Palmtag, G Riedasch

    Urologia Internationalis
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Psychogenic voiding patterns are uncommon in patients, with only 2.7% showing alterations due to psychosis or neurosis. Specific urodynamic findings help differentiate these from neurogenic causes.

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    Area of Science:

    • Urology
    • Psychosomatic Medicine
    • Neuroscience

    Background:

    • Psychogenic voiding dysfunction is a complex condition.
    • Understanding typical and atypical voiding patterns is crucial for diagnosis.
    • Differentiating psychogenic from neurogenic causes requires specific diagnostic tools.

    Purpose of the Study:

    • To precisely define typical psychogenic voiding patterns in a large patient cohort.
    • To identify characteristic urodynamic findings associated with psychosis and psychosomatic disorders.
    • To evaluate the utility of the denervation supersensitivity test in differentiating neurogenic and psychogenic voiding patterns.

    Main Methods:

    • Urodynamic analysis of 1,300 patients.
    • Classification of voiding alterations based on etiology (psychogenic, exogenous, iatrogenic).

    Related Experiment Videos

  • Comparison of voiding patterns across different age groups and conditions (e.g., prostatitis, enuresis).
  • Application of the denervation supersensitivity test.

    • Main Results:

    • Only 2.7% of the studied group exhibited voiding alterations due to psychosis or neurosis.
    • Psychosomatic voiding alterations showed similarities to exogenous or iatrogenic influences.
    • Distinct patterns were observed: urine retention and megalocystis in psychotic patients; polyphasic flow, delayed micturition, and increased sacral reflex activity in psychosomatic disorders.
    • The denervation supersensitivity test proved reliable in differentiating neurogenic from psychogenic voiding patterns.

    Conclusions:

    • Psychogenic voiding alterations are relatively rare but present distinct urodynamic signatures.
    • Urodynamic analysis, coupled with specific tests like the denervation supersensitivity test, is essential for accurate diagnosis.
    • Findings highlight the importance of considering psychological factors in voiding dysfunction and differentiating them from organic causes.