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Titolo:
Learned voiding dysfunction (non-neurogenic, neurogenic bladder) among adults
Autore:
Groutz, A; Blaivas, JG; Pies, C; Sassone, AM;
Indirizzi:
Cornell Univ, Weill Med Coll, New York, NY USA Cornell Univ New York NY USA nell Univ, Weill Med Coll, New York, NY USA
Titolo Testata:
NEUROUROLOGY AND URODYNAMICS
fascicolo: 3, volume: 20, anno: 2001,
pagine: 259 - 268
SICI:
0733-2467(2001)20:3<259:LVD(NB>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXTERNAL SPHINCTER DYSSYNERGIA; HINMAN SYNDROME; CHILDREN;
Keywords:
non-neurogenic; neurogenic bladder; learned voiding dysfunction; detrusor-external sphincter dyssynergia; behavioral modification;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Blaivas, JG 400 E 56 St, New York, NY 10022 USA 400 E 56 St New York NY USA 10022 St, New York, NY 10022 USA
Citazione:
A. Groutz et al., "Learned voiding dysfunction (non-neurogenic, neurogenic bladder) among adults", NEUROUROL U, 20(3), 2001, pp. 259-268

Abstract

Data concerning learned voiding dysfunction (Hinman syndrome; non-neurogenic, neurogenic bladder) in adults are scarce. The present study was conducted to assess the pre valence and clinical characteristics of this dysfunction among adults referred for evaluation of lower urinary tract symptoms. Learned voiding dysfunction was suggested by a characteristic clinical history and intermittent "free" uroflow pattern and by the absence of any detectable neurological abnormality or anatomic urethral obstruction. A definitivediagnosis was made by the demonstration of typical external urethral sphincter contractions during micturition by EMG or fluoroscopy. A urodynamic database of 1,015 consecutive adults was reviewed. Twenty-one (2%) patients (age, 24-76 years) met our strict criteria of learned voiding dysfunction. Obstructive symptoms were the most common presenting symptoms, followed by frequency, nocturia, and urgency. Eight (35%) patients had recurrent urinarytract infections, seven of these being women. None of the patients had anyclinically significant upper urinary tract damage. First sensation volume was significantly lower in women than in men. Both detrusor pressure at maximum Row and maximum detrusor pressure during voiding were found to be significantly higher in men than in women. Further differentiation between adult women and men failed to reveal any other clinically significant differences. In conclusion, by strict video-urodynamic criteria, 2% of our patients had learned voiding dysfunction. Other patients, with presumed learned voiding dysfunction, who did nor undergo video-urodynamics were not included inthe present series. Thus, the prevalence of learned voiding dysfunction among adults referred for evaluation of lower urinary tract symptoms is likely to be even higher. Neurourol. Urodynam. 20:259-268, 2001. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 12:00:05