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Evaluation and Management of Outlet Obstruction in Women Without Anatomical Abnormalities on Physical Exam or Cystoscopy

  • Voiding Dysfunction and Lower Urinary Tract Symptoms (GH Badlani and HB Goldman, Section Editors)
  • Published:
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Abstract

Bladder outlet obstruction (BOO) in women can be either anatomic or functional. Anatomic causes for BOO are often readily apparent by history and physical exam. On the other hand, causes for functional obstruction, including dysfunctional voiding, primary bladder neck obstruction, and detrusor-external sphincter dyssynergia, are more difficult to establish. Because the appropriate treatment for functional obstruction drastically varies according to etiology, making an accurate diagnosis is paramount. Videourodynamics, interpreted in the context of individual clinical symptoms, remains the diagnostic gold standard in women with functional obstruction.

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Acknowledgment

Both D. Hickling and M. Aponte equally contributed to this work.

Disclosure

D. Hickling: none. M. Aponte: none. V. Nitti: Consultant to Allergan, AMS, Astellas, Coloplast, Medtronic, Uroplasty, and Serenity; grants to institution from Allergan, Astellas, and Coloplast; lecture for Allergan; and educational presentation for Serenity.

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  1. Department of Urology, New York University Langone Medical Center, New York, NY, USA

    Duane Hickling, Margarita Aponte & Victor Nitti

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  1. Duane Hickling
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  2. Margarita Aponte
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  3. Victor Nitti
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Correspondence to Victor Nitti.

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Hickling, D., Aponte, M. & Nitti, V. Evaluation and Management of Outlet Obstruction in Women Without Anatomical Abnormalities on Physical Exam or Cystoscopy. Curr Urol Rep 13, 356–362 (2012). https://doi.org/10.1007/s11934-012-0267-8

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  • DOI: https://doi.org/10.1007/s11934-012-0267-8

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