Bladder sphincter dyssynergia: Difference between revisions
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{{Infobox medical condition | |||
| name = Bladder sphincter dyssynergia | |||
| image = [[File:Bladder_Sphincter_Dyssynergia_Urodynamic_Trace.jpg|250px]] | |||
| caption = Urodynamic trace showing bladder sphincter dyssynergia | |||
| field = [[Urology]] | |||
| synonyms = Detrusor sphincter dyssynergia | |||
| symptoms = [[Urinary retention]], [[urinary incontinence]], [[urinary tract infection]] | |||
| complications = [[Hydronephrosis]], [[kidney damage]] | |||
| onset = Variable | |||
| duration = Chronic | |||
| causes = [[Neurological disorder]], [[spinal cord injury]] | |||
| risks = [[Multiple sclerosis]], [[spinal cord injury]] | |||
| diagnosis = [[Urodynamic testing]], [[cystoscopy]] | |||
| differential = [[Benign prostatic hyperplasia]], [[urethral stricture]] | |||
| treatment = [[Intermittent catheterization]], [[botulinum toxin]] injections, [[sphincterotomy]] | |||
| medication = [[Anticholinergics]], [[alpha blockers]] | |||
| frequency = Common in patients with [[spinal cord injury]] | |||
}} | |||
'''Bladder sphincter dyssynergia''' (BSD) is a [[neurological disorder]] that affects the [[urinary bladder]] and the [[urethral sphincter]]. It is characterized by a lack of coordination between these two organs, resulting in difficulty or inability to empty the bladder completely. | '''Bladder sphincter dyssynergia''' (BSD) is a [[neurological disorder]] that affects the [[urinary bladder]] and the [[urethral sphincter]]. It is characterized by a lack of coordination between these two organs, resulting in difficulty or inability to empty the bladder completely. | ||
==Etiology== | ==Etiology== | ||
Bladder sphincter dyssynergia is often associated with various neurological conditions such as [[spinal cord injury]], [[multiple sclerosis]], [[Parkinson's disease]], and [[stroke]]. It can also occur as a result of damage to the nerves controlling the bladder and sphincter during surgery. | Bladder sphincter dyssynergia is often associated with various neurological conditions such as [[spinal cord injury]], [[multiple sclerosis]], [[Parkinson's disease]], and [[stroke]]. It can also occur as a result of damage to the nerves controlling the bladder and sphincter during surgery. | ||
==Symptoms== | ==Symptoms== | ||
The primary symptom of bladder sphincter dyssynergia is difficulty in emptying the bladder completely. This can lead to frequent [[urinary tract infections]], [[urinary incontinence]], and [[kidney damage]]. Other symptoms may include discomfort or pain during urination, a slow urine stream, and frequent urination. | The primary symptom of bladder sphincter dyssynergia is difficulty in emptying the bladder completely. This can lead to frequent [[urinary tract infections]], [[urinary incontinence]], and [[kidney damage]]. Other symptoms may include discomfort or pain during urination, a slow urine stream, and frequent urination. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of bladder sphincter dyssynergia is typically made through a combination of patient history, physical examination, and diagnostic tests. These tests may include [[urodynamic testing]], which measures the pressure and volume of urine in the bladder, and [[electromyography]], which measures the electrical activity of the muscles in the bladder and sphincter. | Diagnosis of bladder sphincter dyssynergia is typically made through a combination of patient history, physical examination, and diagnostic tests. These tests may include [[urodynamic testing]], which measures the pressure and volume of urine in the bladder, and [[electromyography]], which measures the electrical activity of the muscles in the bladder and sphincter. | ||
==Treatment== | ==Treatment== | ||
Treatment for bladder sphincter dyssynergia typically involves managing the symptoms and preventing complications. This may include medications to relax the bladder and sphincter muscles, [[catheterization]] to empty the bladder, and in some cases, surgery to improve bladder emptying. | Treatment for bladder sphincter dyssynergia typically involves managing the symptoms and preventing complications. This may include medications to relax the bladder and sphincter muscles, [[catheterization]] to empty the bladder, and in some cases, surgery to improve bladder emptying. | ||
==See also== | ==See also== | ||
* [[Neurogenic bladder]] | * [[Neurogenic bladder]] | ||
* [[Urinary incontinence]] | * [[Urinary incontinence]] | ||
* [[Urology]] | * [[Urology]] | ||
==References== | ==References== | ||
{{reflist}} | {{reflist}} | ||
[[Category:Urological conditions]] | [[Category:Urological conditions]] | ||
[[Category:Neurological disorders]] | [[Category:Neurological disorders]] | ||
| Line 31: | Line 38: | ||
{{urology-stub}} | {{urology-stub}} | ||
{{neurology-stub}} | {{neurology-stub}} | ||
Latest revision as of 18:44, 4 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Bladder sphincter dyssynergia | |
|---|---|
| |
| Synonyms | Detrusor sphincter dyssynergia |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Urinary retention, urinary incontinence, urinary tract infection |
| Complications | Hydronephrosis, kidney damage |
| Onset | Variable |
| Duration | Chronic |
| Types | N/A |
| Causes | Neurological disorder, spinal cord injury |
| Risks | Multiple sclerosis, spinal cord injury |
| Diagnosis | Urodynamic testing, cystoscopy |
| Differential diagnosis | Benign prostatic hyperplasia, urethral stricture |
| Prevention | N/A |
| Treatment | Intermittent catheterization, botulinum toxin injections, sphincterotomy |
| Medication | Anticholinergics, alpha blockers |
| Prognosis | N/A |
| Frequency | Common in patients with spinal cord injury |
| Deaths | N/A |
Bladder sphincter dyssynergia (BSD) is a neurological disorder that affects the urinary bladder and the urethral sphincter. It is characterized by a lack of coordination between these two organs, resulting in difficulty or inability to empty the bladder completely.
Etiology[edit]
Bladder sphincter dyssynergia is often associated with various neurological conditions such as spinal cord injury, multiple sclerosis, Parkinson's disease, and stroke. It can also occur as a result of damage to the nerves controlling the bladder and sphincter during surgery.
Symptoms[edit]
The primary symptom of bladder sphincter dyssynergia is difficulty in emptying the bladder completely. This can lead to frequent urinary tract infections, urinary incontinence, and kidney damage. Other symptoms may include discomfort or pain during urination, a slow urine stream, and frequent urination.
Diagnosis[edit]
Diagnosis of bladder sphincter dyssynergia is typically made through a combination of patient history, physical examination, and diagnostic tests. These tests may include urodynamic testing, which measures the pressure and volume of urine in the bladder, and electromyography, which measures the electrical activity of the muscles in the bladder and sphincter.
Treatment[edit]
Treatment for bladder sphincter dyssynergia typically involves managing the symptoms and preventing complications. This may include medications to relax the bladder and sphincter muscles, catheterization to empty the bladder, and in some cases, surgery to improve bladder emptying.
See also[edit]
References[edit]
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