Classification Of Voiding Dysfunction

The purpose of any classification system should be to facilitate understanding and management. A good classification should serve as intellectual shorthand and should convey, in a few key words or phrases, the essence of a clinical situation. An ideal system for all types of voiding dysfunction would include or imply a number of factors 1. the conclusions reached from urodynamic testing 3. the approximate site and type of a neurologic lesion, or lack of one. If the various categories accurately...

Behavioral Voiding Dysfunction Pseudodyssynergia

Bladder outlet obstruction may also occur in the setting of an anatomically normal male patient owing to a dynamic obstruction caused by a lack of coordination between the detrusor and bladder neck smooth muscle (bladder neck dyssynergia) or striated muscle external sphincter (pseudodyssynergia). While psydodyssynergia generally implies a condition in a neurologically intact patient, similar conditions may be the result of a neurologic lesion (detrusor external sphincter dyssynergia, DESD) or...