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Female voiding dysfunction: Prevalence and common associations

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Abstract

The understanding of voiding dysfunction has been greatly assisted by the current introduction of clear definitions for its diagnosis and for the abnormalities of urine flow rates and postvoid residuals that are its basis. Its prevalence in women with symptoms of pelvic floor dysfunction is up to 40%. Most of the recent research has centered on the associations of voiding dysfunction with age, pelvic organ prolapse, and prior continence surgery. The effects of parity, medications, and pelvic tumors have also been explored.

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References and Recommended Reading

  1. Haylen BT, De Ridder D, Freeman RM, et al.: An International Urogynecological Association (IUGA)-International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Dual Publication: Int Urogynecol J Pelvic Floor Dysfunct 2009 (in press) and Neurourol Urodyn 2009 (in press).

  2. Jeffery ST, Doumouchtsis SK, Vlachos IS, Fynes MM: Are voiding symptoms really associated with abnormal voiding parameters? J Urol 2008, 15:1044–1048.

    Google Scholar 

  3. Lowenstein L, Andersen C, Kenton K, et al.: Obstructive voiding symptoms are not predictive of elevated postvoid residual volumes. Int Urogynecol J Pelvic Floor Dysfunct 2008, 19:801–804.

    Article  PubMed  Google Scholar 

  4. Haylen BT, Yang V, Logan V: Uroflowmetry: its current clinical utility in women. Int Urogynecol J Pelvic Floor Dysfunct 2008, 19:899–903.

    Article  PubMed  Google Scholar 

  5. Valentini F, Marti B, Robain G, Nelson P: Differences between data from free flow and intubated flow in women with urinary incontinence. What do they mean? Neurourol Urodyn 2008, 27:297–300.

    Article  PubMed  Google Scholar 

  6. Haylen BT, Lee J: The accuracy of measurement of the postvoid residual in women. Editorial. Int Urogynecol J Pelvic Floor Dysfunct 2008, 19:603–606.

    Article  PubMed  Google Scholar 

  7. Haylen BT, Lee J, Logan V, et al.: Immediate postvoid residuals in women with symptoms of pelvic floor dysfunction: prevalences and associations. Obstet Gynecol 2008, 111:1305–1312.

    PubMed  Google Scholar 

  8. Costantini E, Mearini E, Pajoncini C, et al.: Uroflowmetry in female voiding disturbances. Neurourol Urodyn 2003, 22:569–573.

    Article  PubMed  Google Scholar 

  9. Lukacz ES, DuHamel E, Menefee SA, Luber KM: Elevated postvoid residual in women with pelvic floor disorders. Prevalence and associated risk factors. Int Urogynecol J Pelvic Floor Dysfunct 2006, 18:397–400.

    PubMed  Google Scholar 

  10. Groutz A, Blaivas JG, Chaikin DC: Bladder outflow obstruction in women: definition and characteristics. Neurourol Urodyn 2000, 19:213–220.

    Article  CAS  PubMed  Google Scholar 

  11. Mueller E, Wei J, Nygaard I, et al.: The correlation of voiding variables between non-instrumented uroflowmetry and pressure-flow studies in women with pelvic organ prolapsed. Neurourol Urodyn 2008, 27:515–521.

    Article  PubMed  Google Scholar 

  12. Haylen BT, Verity L, Schulz S, et al.: Has the true incidence of voiding difficulty in urogynecology patients been underestimated? Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:53–56.

    Article  PubMed  Google Scholar 

  13. Tseng LH, Liang CC, Tsay PK, et al.: Factors affecting voiding function in urogynaecology patients. Taiwan J Obstet Gynecol 2008, 47:417–421.

    Article  PubMed  Google Scholar 

  14. Massey JA, Abrams PH: Obstructed voiding in the female. Br J Urol 1988, 61:36–39.

    Article  CAS  PubMed  Google Scholar 

  15. Gehrich A, Stany MP, Fischer JR, et al.: Establishing a mean postvoid residual volume in perimenopausal and postmenopausal women. Obstet Gynecol 2007, 110:827–830.

    PubMed  Google Scholar 

  16. Liang CC, Tseng LH, Chang SD, et al.: Resolution of elevated postvoid residual volumes after correction of severe pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 2008, 19:1261–1266.

    Article  PubMed  Google Scholar 

  17. Albo ME, Ruchter HE, Brubaker L, et al.: Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med 2007, 356:2143–2155.

    Article  CAS  PubMed  Google Scholar 

  18. Duckett JR, Patil A, Papanikalaou NS: Predicting early voiding dysfunction after tension-free vaginal tape. J Obstet Gynaecol 2008, 28:89–92.

    Article  CAS  PubMed  Google Scholar 

  19. Celebi I, Gungorduk K, Ark C, Akyoi A: Results of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence: a 5-year follow-up study. Arch Gynecol Obsetet 2009, 279:463–467.

    Article  Google Scholar 

  20. Takacs P, Medina CA: Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:1445–1447.

    Article  PubMed  Google Scholar 

  21. Dawson T, Lawton V, Adams E, Richmond D: Factors predictive of post-TVT voiding dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:1297–1302.

    Article  PubMed  Google Scholar 

  22. Salin A, Conquy S, Elie C, et al.: Identification of risk factors for voiding dysfunction following TVT placement. Eur Urol 2007, 51:782–787.

    Article  PubMed  Google Scholar 

  23. Meschia M, Bertozzi R, Pifarotti P, et al.: Peri-operative morbidity and early results of a randomized trial comparing TVT and TVT-O. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:1257–1261.

    Article  PubMed  Google Scholar 

  24. Zhu L, Lang J, Hai N, Wong F: Comparing vaginal tape and transobturator tape for the treatment of mild to moderate stress incontinence. Int J Gynecol Obstet 2007, 99:14–17.

    Article  Google Scholar 

  25. Barber MD, Gustilio-Ashby AM, Chen CCG, et al.: Perioperative complications and adverse events of the MONARC transobturator tape, compared with the tension-free vaginal tape. Am J Obstet Gynecol 2006, 195:1820–1825.

    Article  PubMed  Google Scholar 

  26. Dietz HP, Barry C, Lim Y, Rane A: TVT vs Monarc: a comparative study. Int Urogynecol J Pelvic Floor Dysfunct 2006, 17:566–569.

    Article  PubMed  Google Scholar 

  27. Ghezzi F, Serati M, Cromi A, et al.: Tension-free tape for the treatment of urodynamic stress incontinence with intrinsic sphincteric deficiency. Int Urogynecol J Pelvic Floor Dysfunct 2006, 17:335–339.

    Article  PubMed  Google Scholar 

  28. Vervest HAM, Bisseling TM, Heintz APM, Schraffordt Koops SE: The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:173–182.

    PubMed  Google Scholar 

  29. Komesu YM, Rogers RG, Kammerer-Doak DN, et al.: Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery. J Reprod Med 2007, 52:611–615.

    PubMed  Google Scholar 

  30. Sander P, Sorensen F, Lose G: Does the tension-free vaginal tape procedure (TVT) affect voiding function over time? Pressure-flow studies 1 year and 3(1/2) years after TVT. Neurourol Urodyn 2007, 26:995–997.

    Article  PubMed  Google Scholar 

  31. Doo CK, Hong B, Kim JY, et al.: Five-year outcomes of tension-free vaginal tape procedure for treatment of female stress urinary incontinence. Eur Urol 2006, 50:333–338.

    Article  PubMed  Google Scholar 

  32. Glavind K, Glavind E: Treatment of prolonged voiding dysfunction after tension-free vaginal tape procedure. Acta Obstet Gynecol Scand 2007, 86:357–360.

    Article  PubMed  Google Scholar 

  33. Segal J, Steele AC, Vassallo BJ, et al.: Various approaches to treating voiding dysfunction following anti-incontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct 2006, 17:372–377.

    Article  PubMed  Google Scholar 

  34. Siddighi S, Karram M: Surgical and non-surgical approaches to treat voiding dysfunction following antiincontinence surgery. Curr Opin Obstet Gynecol 2007, 19:490–495.

    Article  PubMed  Google Scholar 

  35. Chai AH, Wong T, Mak HL, et al.: Prevalence and associated risk factors of retention of urine after caesarean section. Int Urogynecol J Pelvic Floor Dysfunct 2008, 19:537–542.

    Article  PubMed  Google Scholar 

  36. Liang CC, Chang SD, Chang YL, et al.: Postpartum urinary retention after caesarean section. Int J Gynecol Obstet 2007, 99:229–232.

    Article  CAS  Google Scholar 

  37. Demaria F, Boquet B, Porcher R, et al.: Post-voiding residual volume in 154 primiparae 3 days after vaginal delivery under epidural anesthesia. Eur J Obstet Gynecol Reprod Biol 2008, 138:110–113.

    Article  PubMed  Google Scholar 

  38. Cucchi A, Quaglini S, Rovereto B: Development of idiopathic detrusor underactivity in women: from isolated decrease in contraction velocity to obvious impairment in voiding function. Urology 2008, 75:844–848.

    Article  Google Scholar 

  39. Blatt AH, Titus J, Chan L: Ultrasound measurement of bladder wall thickness in the assessment of voiding function. J Urol 2008, 179:2275–2279.

    Article  PubMed  Google Scholar 

  40. Kupelian V, McVary KT, Barry MJ, et al.: Association of Creactive protein and lower urinary tract symptoms in men and women: results from Boston Area Community Area Community Health Survey. Urology 2009, 73:950–957.

    Article  PubMed  Google Scholar 

  41. Ahmad I, Krishna NS, Small DR, Conn IG: Aetiology and management of acute female urinary retention. Brit J Med Surg Urol 2009, 2:27–33.

    Article  Google Scholar 

  42. Julia JJ, Cholhan HJ: Herpes zoster-associated acute urinary retention: a case report. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:103–104.

    Article  PubMed  Google Scholar 

  43. Imafuku S, Takahara M, Uenotsuchi T, et al.: Herpes-zoster associated voiding dysfunction in hematopoietic malignancy patients. Int J Dermatol 2008, 47:36–39.

    PubMed  Google Scholar 

  44. Fujita K, Tanaka T, Kono S, et al.: Urinary retention secondary to listeria meningitis. Int Med 2008, 47:1129–1131.

    Article  Google Scholar 

  45. Hmouda H, Ben Salem C, Grira M, et al.: Carbamazepine-induced urinary retention. Brit J Clin Pharmacol 2007, 64:833–834.

    CAS  Google Scholar 

  46. Lowenstein L, Mueller ER, Sharma S, Fitzgerald MP: Urinary hesitancy and retention during treatment with sertraline. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:827–829.

    Article  CAS  PubMed  Google Scholar 

  47. Sakakibara R, Uchiyama T, Tamura N, et al.: Urinary retention and sympathetic sphincter obstruction in axonal Guillain Barré syndrome. Muscle Nerve 2007, 35:111–115.

    Article  PubMed  Google Scholar 

  48. Kessler TM, Studer UE, Burkhard FC: The effect of terazosin on function bladder outflow obstruction in women: a pilot study. J Urol 2006, 176:1487–1492.

    Article  CAS  PubMed  Google Scholar 

  49. Reisenauer C, Walz-Mattmueller R, Solomayer EF, et al.: Leiomyoma in the Retzius space: a rare cause for voiding difficulties. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:1229–1231.

    Article  PubMed  Google Scholar 

  50. Lin HC, Wu WJ, Ke HL, Huang CH: Bladder leiomyoma presenting as voiding dysfunction. A case report. Kaohsiung J Med Sci 2006, 22:154–157.

    Article  PubMed  Google Scholar 

  51. Chauleur C, Vulliez L, Seffert P: Acute urinary retention in early pregnancy resulting from fibroid incarceration: proposition for management. Fertil Steril 2008, 90:1198.

    Article  PubMed  Google Scholar 

  52. Barnacle S, Muir T: Intermittent urinary retention secondary to a uterine leiomyoma. Int Urogynecol J 2007, 18:1247–1248.

    Article  Google Scholar 

  53. Arleo EK, Tal MG: Fibroid-induced acute urinary retention: treatment by uterine artery embolization. Int Urogynecol J Pelvic Floor Dysfunct 2008, 19:161–165.

    PubMed  Google Scholar 

  54. Haylen BT: Obstruction due to a fibroid: is it a case of non-pregnancy incarceration of a retroverted uterus. Int Urogynecol J Pelvic Floor Dysfunct 2007, 10:1247–1248.

    Google Scholar 

  55. Adam RA, Taghechian S: Acute urinary retention caused by a large hydrosalpinx. Int Urogynecol J Pelvic Floor Dysfunct 2007, 18:691–692.

    Article  PubMed  Google Scholar 

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Correspondence to Bernard T. Haylen.

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Haylen, B.T. Female voiding dysfunction: Prevalence and common associations. Curr Urol Rep 10, 421–427 (2009). https://doi.org/10.1007/s11934-009-0067-y

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