Voiding Dysfunction: Diagnosis and Treatment

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This condition is characterized by the inability to completely empty the bladder. Patients typically produce a weak or dribbling stream of urine. Tests which may be performed to diagnose voiding dysfunction include: a urinalysis, cystoscopy looking into the bladder , urodynamics the study of bladder function and urine flow or a bladder scan a non-invasive procedure which measures the amount of urine left in the bladder. Commonly performed procedures include collagen injections, pubovaginal slings, microwave treatments for enlarged prostates BPH , bladder augmentation or insertion of artificial urinary sphincters.

TUCC physicians lead the region in performing robotic ureteral repairs of ureteral strictures and injuries. Read Article. Voiding Dysfunction It is estimated that as many as 25 million Americans suffer from bladder control problems.

Introduction

Find A Doctor. Symptoms of Voiding Dysfunction Urinary Incontinence Urinary incontinence is defined as the inability to control urine flow.

Male Urinary Incontinence - #UCLAMDCHAT Webinar

How Does the Urinary System Work? Symptoms and Causes. What are Common Symptoms of Bladder Dysfunction?

Children with bladder dysfunction may have a range of symptoms. Common problems are: Daytime wetting: the loss of bladder control in grown children during awake hours. Daytime wetting affects up to 20 percent of 4 to 6-year-old children. Frequency: when a child has to urinate more than 8 times during awake hours. Giggle Incontinence : urine leaks out by accident with laughter. Hesitancy: difficulty starting or taking a long time to start urinating.

Holding maneuvers: the child does things to avoid going to the bathroom, such as squatting, leg crossing or holding the genital area. Infrequency: when a child doesn't urinate enough during awake hours fewer than three times. Intermittent urine stream: the flow of urine occurs in bursts rather than a normal continuous stream. Post-micturition dribbling: leaks of urine that occur immediately from sitting position soon after going to the bathroom. This occurs primarily in girls. Straining: difficulty getting urine out a child may have to push or strain to go.

Urgency: a sudden, unexpected need to urinate. Weak urine stream: the flow of urine is weak or slow. How are Constipation and Bladder Dysfunction Related? Constipation is when a child may have: Fewer than two bowel movements a week Stools that are hard, dry and small and may be painful or difficult to pass This problem is very common in children, especially with picky eaters who avoid high fiber foods. These reasons link both problems: The rectum is behind the bladder.

When there is a large amount of stool in the rectum, it can push on the bladder. The bladder can't hold as much urine in this case.

How Does the Urinary System Work?

This pressure can cause urinary frequency. The pelvic floor muscles control both the bladder sphincter and anal sphincter. Children who feel pain when they have a bowel movement will tend to hold in their stool. This action, in turn, holds in urine by tightening the bladder sphincter, which can cause urinary infrequency. Often, bladder problems in children are from a bad habit that can easily be corrected.

How is Bladder Dysfunction Diagnosed?

Neurogenic Bladder - A Clear Overview for HCP's & Patients

You will be asked questions about your child's bathroom habits such as how often they go, if and when they have wetting accidents, how often they have bowel movements, observations of holding e. During the exam, the doctor will be looking for abnormal physical signs that could lead to bladder dysfunction such as: Girls may have labial adhesions or scarring which can cause wetting accidents soon after using the bathroom. Boys may have scarring or narrowing in their urethra which can cause a slow stream or a burning sensation. An anal fissure a tear in the rectal tissue or rectal prolapse is a sign of severe constipation.

A large, hard lump in the abdomen may be from stool.

Videourodynamic Studies of Women with Voiding Dysfunction

This is a way to keep track of when your child urinates and passes stool. This will help form a diagnosis and determine treatment options. A urine specimen may be collected during the doctor's visit.

This is done to test for a urinary tract infection, sugar in the urine for diabetes and to see other elements of the urine. These may be used to find stool in the bowels and help manage constipation, if present. Your child may be asked to urinate in a toilet that has a sensor at the bottom uroflow. This test checks the quality of the urinary stream. A bladder ultrasound may also be used to check how well the bladder is emptying.

Emergency and urgent care locations

Treating Bladder Dysfunction Managing bladder dysfunction in children is often successful. High-Fiber Dietary Changes: Offer meals with many fruits, vegetables, and whole grains. Products are available to increase daily fiber intake, such as "Fiber Gummies". For the short-term, your care provider may recommend a bowel cleanse. Your healthcare provider may suggest a bathroom schedule for your child of every 2 to 4 hours, whether they have to go or not.

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Female Urology & Voiding Dysfunction – Michigan Institute of Urology

If your child is old enough to wear a programmable watch, it can be set to vibrate or make a sound to help stay on schedule in school. Voiding Dysfunction This spans all the urinary issues such as incontinence to overactive bladder and poorly functioning bladder. Schedule An Appointment. Voiding Dysfunction Schedule An Appointment.


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Conditions Voiding Dysfunction. Voiding dysfunction can encompass many disorders for many reasons. There can be anatomical causes of voiding dysfunction as well as neurological causes. Urinary incontinence is a patient unable to control urine flow. Mixed Urinary Incontinence: Combination of both stress and urge incontinence.

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