Bladder Emptying: Coordination of Bladder and Sphincters

  • Cory HarrisEmail author
  • Philip P. Smith
  • Angelo E. Gousse


In this chapter the reader will review high quality urodynamics tracing with interpretations by experts in the field. The tracings have annotations in simple to understand language reviewing processes involving coordination of bladder–sphincter complex. After reading this chapter the reader will have better understanding of normal coordination of bladder–sphincter function and will be able to identify pathology discovered on urodynamics studies such as dysfunctional voiding, bladder neck obstruction, and detrusor dyssynergia. By reviewing the tracing and fluoroscopic images one will obtain a fundamental understanding of normal and pathologic process and will be able to form a differential diagnosis based on history and urodynamic findings. This creates a practical, logically planned, and user-friendly reference.


Pelvic Floor Bladder Neck Urethral Stricture Detrusor Contraction Urethral Diverticulum 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Wein AJ, Novick AC, Alan P, Craig P, Kavoussi LR. Physiology and pharmacology of bladder and urethra. In: Campbell-Walsh urology. Philadelphia: Saunders/Elsevier; 2012. Chapter 60.Google Scholar
  2. 2.
    Blaivas J, et al. Atlas of urodynamics. 2nd ed. Malden: Blackwell Publishing; 1997. p. 11.Google Scholar
  3. 3.
    Hinman F. Nonneurogenic neurogenic bladder (the Hinman syndrome)—15 years later. J Urol. 1986;136:769–77.PubMedGoogle Scholar
  4. 4.
    Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Neurourol Urodyn. 2002;21:167–78.PubMedCrossRefGoogle Scholar
  5. 5.
    Nitti VW, Tu LM, Gitlin J. Diagnosing bladder outlet obstruction in women. J Urol. 1999;161:1535–40.PubMedCrossRefGoogle Scholar
  6. 6.
    Smith PP, Wolfson LI, Kuchel GA, The Neurourology of Urinary Symptoms in Older Adults, Virtual Editions BJUI Online, BJU International, 2011, DOI 10.1002/BJUIw-2011-010-webGoogle Scholar
  7. 7.
    Fitz F, Resnde A, Stupp L, et al. Biofeedback for the treatment of female pelvic floor muscle dysfunction: a systematic review and meta-analysis. Int Urogynecol J. 2012;23:1495–516.PubMedCrossRefGoogle Scholar
  8. 8.
    Siegel S, et al. Sacral nerve stimulation for voiding dysfunction: one institution’s 11-year experience. Neurourol Urodyn. 2007;26:19–28.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Cory Harris
    • 1
    Email author
  • Philip P. Smith
    • 2
    • 3
    • 4
  • Angelo E. Gousse
    • 5
  1. 1.Department of UrologyMemorial Hospital Miramar, South Broward Hospital DistrictMiramarUSA
  2. 2.Department of SurgeryUniversity of Connecticut Health CenterFarmingtonUSA
  3. 3.Department of UrologyConnecticut Children’s Medical CenterHartfordUSA
  4. 4.Center on AgingUniversity of Connecticut Health CenterFarmingtonUSA
  5. 5.Herbert Wertheim College of Medicine, Florida International University, Memorial Hospital Miramar, South Broward Hospital DistrictMiramarUSA

Personalised recommendations