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Nadir Osman; Altaf Mangera; Christopher Hillary; Richard Inman; Christopher Chapple (2016)
Publisher: F1000 Research Ltd
Journal: F1000Research
Languages: English
Types: Article
Subjects: Benign Bladder & Urethral Disorders, Medicine, chronic urinary retention, QH301-705.5, R, Review, detrusor underactivity, Lower Urinary Tract: Dysfunction, Incontinence & Urodynamics, Articles, Underactive bladder, Biology (General)

Classified by OpenAIRE into

mesheuropmc: urologic and male genital diseases, female genital diseases and pregnancy complications
The inability to generate a voiding contraction sufficient to allow efficient bladder emptying within a reasonable time frame is a common problem seen in urological practice. Typically, the symptoms that arise are voiding symptoms, such as weak and slow urinary flow. These symptoms can cause considerable bother to patients and impact upon quality of life. The urodynamic finding of inadequate detrusor contraction has been termed detrusor underactivity (DUA). Although a definition is available for this entity, there are no widely accepted diagnostic criteria. Drawing parallels to detrusor overactivity and the overactive bladder, the symptoms arising from DUA have been referred to as the ?underactive bladder? (UAB), while attempts to crystallize the definition of UAB are now ongoing. In this article, we review the contemporary literature pertaining to the epidemiology and etiopathogenesis of DUA as well as discuss the definitional aspects that are currently under consideration.
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    • 1. Abrams P, Chapple C, Khoury S, Roehrborn C, de la Rosette J: Evaluation and treatment of lower urinary tract symptoms in older men.J Urol. 2009; 181 (4): 1779-87 PubMed Abstract | Publisher Full Text
    • 2. Rosier PF, de Wildt MJ, de la Rosette JJ, Debruyne FM, Wijkstra H: Analysis of maximum detrusor contraction power in relation to bladder emptying in patients with lower urinary tract symptoms and benign prostatic enlargement.J Urol. 1995; 154 (6): 2137-42 PubMed Abstract
    • 3. Lecamwasam HS, Sullivan MP, Cravalho EG, Yalla SV: Detrusor internal and external work in relation to passive urethral resistance in a canine model of the lower urinary tract.Neurourol Urodyn. 1996; 15 (5): 529-43; discussion 544 PubMed Abstract | <529::AID-NAU9>3.0.CO;2-H">Publisher Full Text
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