Abstract
The patient with detrusor underactivity can fit into two broad clinical entities; those with a significant post voiding residual or those who demonstrate reasonable bladder emptying but present with symptoms. These are not necessarily two separate processes and there can be considerable overlap between the two, however it is important to decide whether treatment strategies are directed at improving bladder emptying, controlling symptoms or both. Intuitively, intermittent catheterisation is the preferred treatment option, however outlet surgery is a potential alternative for those with large post-voiding residuals who are motivated to be catheter-free. However, the outcomes of surgery in this context are clearly inferior to those with bladder outlet obstruction and several authors have suggested parameters, which can help to predict success following surgery.
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Hillary, C.J., Osman, N.I., Chapple, C.R. (2017). Indications for Treatment. In: Chapple, C., Wein, A., Osman, N. (eds) Underactive Bladder. Springer, Cham. https://doi.org/10.1007/978-3-319-43087-4_5
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DOI: https://doi.org/10.1007/978-3-319-43087-4_5
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