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How to Diagnose Dysfunctional Voiding

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Abstract

Purpose

This review aims to discuss the diagnosis and assessment of dysfunctional voiding in both children and adults.

Recent Findings

Although the pillars of diagnosing dysfunctional voiding are a history, physical exam, and uroflowmetry with electromyography or urodynamics, new technology may aid in this evaluation. The use of urinary biomarkers may be a helpful, non-invasive adjunct in diagnosis. In addition, novel devices and smartphone apps may make diagnosis more accessible to patients and providers.

Summary

Dysfunctional voiding refers to the condition where there is a lack of coordination between the sphincter and detrusor muscle during bladder emptying in the absence of anatomic or neurologic cause. Commonly diagnosed in children, this condition may persist or be diagnosed de novo in adulthood. As such, thorough evaluation is critical to diagnosis to prevent recurrent infections and deterioration of the upper urinary tract. Uroflowmetry, with or without electromyography, and/or urodynamics remain the gold standard for diagnosis, while new technology may facilitate evaluation.

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  1. Department of Urology, MedStar Health Georgetown, 3800 Reservoir Rd NW, Washington, DC, 20007, USA

    Joanna Marantidis & Rachael D. Sussman

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  1. Joanna Marantidis
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Correspondence to Joanna Marantidis.

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Marantidis, J., Sussman, R.D. How to Diagnose Dysfunctional Voiding. Curr Bladder Dysfunct Rep 19, 76–82 (2024). https://doi.org/10.1007/s11884-024-00735-9

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