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Diagnosis of Underactive Bladder in Female

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Non-Neurogenic Bladder Dysfunctions

Part of the book series: Urodynamics, Neurourology and Pelvic Floor Dysfunctions ((UNPFD))

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Abstract

Diagnosis of underactive bladder (UAB) is by clinical and urodynamic evaluation. The clinical evaluation is based firstly on the patient’s medical history, with the aim of assessing risk factors and sequelae associated with UAB, and secondly on an evaluation of urinary symptoms. However, the diagnosis of UAB from symptoms alone is difficult owing to the presence of symptoms that overlap with other bladder pathologies such as overactive bladder (OAB) or bladder outlet obstruction (BOO). We propose a new diagnostic algorithm for LUTS for distinguishing UAB, OAB and BOO patients. When diagnosis remains uncertain, urodynamics will evaluate contractility and a diagnosis of detrusor underactivity (DUA) will denote UAB. However, this is hindered by a lack of a gold-standard measurement for DUA in women. To date, the most effective diagnostic indicator of DUA in female patients is a PIP value <30.

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Author information

Authors and Affiliations

  1. Department of Female and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy

    Franca Natale

  2. Andrology and Urogynecological Clinic, Santa Maria Hospital Terni, University of Perugia, Perugia, Italy

    Francesco Trama

Authors
  1. Franca Natale
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  2. Francesco Trama
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Editor information

Editors and Affiliations

  1. Department of Urology, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy

    Matteo Balzarro

  2. Unit of Minimally Invasive, Robotic Urologic Surgery and Kidney Transplantation, Department of Experimental Medicine, Careggi Hospital, University of Florence, Florence, Italy

    Vincenzo Li Marzi

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Natale, F., Trama, F. (2021). Diagnosis of Underactive Bladder in Female. In: Balzarro, M., Li Marzi, V. (eds) Non-Neurogenic Bladder Dysfunctions. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-030-57393-5_10

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  • DOI: https://doi.org/10.1007/978-3-030-57393-5_10

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-57392-8

  • Online ISBN: 978-3-030-57393-5

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