Underactive bladder: A review of the current treatment concepts

Turkish Journal of Urology
Ömer Bayrak, Roger Dmochowski

Abstract

According to the International Continence Society standardization reports, underactive bladder (UAB) is a decrease in detrusor contraction and/or shortening of the contraction time, resulting in an incomplete and/or prolongation of the bladder emptying within the normal time frame. It has been indicated that idiopathic, neurogenic, myogenic, and iatrogenic factors play a role in the etiology. To make a diagnosis, it is absolutely necessary to perform a pressure-flow study. Treatment alternatives are generally based on the evacuation of the lower urinary tract, independent of the etiology. UAB treatments are listed under the headings of conservative methods and clean intermittent catheterization, pharmacotherapy (alpha-blockers, cholinesterase inhibitors, muscarinic agonists, prostaglandin E2, and acotiamide), surgical treatments (sacral nerve stimulation-electrical stimulation, injections into the external sphincter, surgeries to be performed for bladder outlet obstruction, reduction cystoplasty, and latissimus dorsi detrusor myoplasty), and stem cell and gene therapies. It is still controversial whether satisfactory success is achieved in the treatment of patients with UAB. Owing to the better understanding of the pathophysiol...Continue Reading

Citations

Aug 1, 2020·Porto Biomedical Journal·Mariana Santos-Pereira, Ana Charrua
Oct 7, 2020·International Neurourology Journal·Karl-Erik Andersson
Jun 1, 2021·International Neurourology Journal·Su Jin KimKhae Hawn Kim
Jul 28, 2021·Life Sciences·Shogo ShimizuMotoaki Saito

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