Nonneurogenic voding dysfunction and urinary retention Flashcards
Chapter 54
‘intermittent
and/or fluctuating flow rate due to involuntary intermittent contractions of the periurethral striated or levator muscles during
voiding in neurologically normal women’ or as a result of ‘the
acontractile detrusor’
voiding dysfunction
voluntary continuous detrusor
contraction that leads to complete bladder emptying within a
normal time span, and in the absence of obstruction’
normal voiding
contraction of reduced strength and/or duration, resulting in prolonged bladder emptying and/or a failure to achieve complete bladder emptying within a normal time span’
detrusor underactivity
no detrusor contractions during urodynamics –empty by straining or catheterisation
acontractile detrusor
a combination of
underactive detrusor on voiding and overactivity in the filling
phase
detrusor hyperre-
flexia with impaired contractility (DHIC)