Female Bladder Outlet Obstruction

Current Urology Reports
Daniel S Hoffman, Victor W Nitti

Abstract

The non-specific symptoms the patients express upon the presentation of female bladder outlet obstruction make it a challenge to diagnose. There are subtle differences between the obstructed patient and those whose bladders are underactive and/or fail to mount a detrusor contraction. These disparities can be extracted through a thorough history and examination. At times, the clinician may utilize nomograms, non-invasive uroflow, and urodynamics with the addition of fluoroscopy to establish the diagnosis of obstruction. Management of the obstruction depends on the nature of the condition, whether functional or anatomical. The increase in the number of sling procedures performed to treat stress urinary incontinence has resulted in a rise in the number of iatrogenic obstructions. The temporal relationship between surgery and obstruction is the key to identifying the problem.

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Citations

Mar 8, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Cristiano Mendes GomesHomero Bruschini
Jun 9, 2020·Lower Urinary Tract Symptoms·Hueih Ling OngHann-Chorng Kuo
Apr 21, 2020·Journal of Parkinson's Disease·Chunsong JiaTongwen Ou
Mar 20, 2021·PloS One·Pedro F S FreitasCristiano M Gomes
Aug 26, 2021·Journal of the Chinese Medical Association : JCMA·Jessica Jay FangHung-Yen Chin

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