Underactive bladder in women: is there any evidence?

Abstract:

PURPOSE OF REVIEW:Underactive bladder (UAB) is a clinical symptom complex only recently gaining recognition as a clinical diagnosis. Lack of consensus agreement on a definition of UAB has limited its recognition and diagnosis in clinical practice. The purposes of this review are to: present existing definitions of UAB, review recent data regarding clinical and urodynamic diagnosis of the condition, and examine up-to-date hypotheses regarding its pathophysiology, with a focus on women. RECENT FINDINGS:The process to develop a consensus definition for UAB as a clinical symptom complex is ongoing. Symptoms associated with UAB, such as weak stream, straining to void, and history of urinary retention are well correlated to detrusor underactivity on urodynamics, which frequently develops in elderly women. In addition to aging, UAB may be the end stage of a variety of contributing pathologic conditions such as diabetes and ischemic disease. In some women, UAB may result from a progression from overactive bladder to UAB. SUMMARY:Existing evidence supports UAB in women as a symptom complex with a clinical and pathophysiologic profile distinguishable from other lower urinary tract-associated clinical conditions. Consensus definitions of clinical and urodynamic diagnostic parameters will be essential to more widespread recognition of UAB.

journal_name

Curr Opin Urol

authors

Cohn JA,Brown ET,Kaufman MR,Dmochowski RR,Reynolds WS

doi

10.1097/MOU.0000000000000280

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

309-14

issue

4

eissn

0963-0643

issn

1473-6586

journal_volume

26

pub_type

杂志文章,评审
  • Systemic treatment options for metastatic hormone-sensitive prostate cancer: making sense of the data.

    abstract:PURPOSE OF REVIEW:Systemic treatment options for metastatic hormone-sensitive prostate cancer (mHSPC) have recently shifted from the traditional androgen deprivation therapy (ADT) monotherapy to multidrug approaches incorporating drugs initially approved for castration-resistant state and ADT. However, clinicians have ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000778

    authors: Baston C,Preda A,Guler-Margaritis SS,Sinescu I,Gingu C

    更新日期:2020-07-01 00:00:00

  • Renal magnetic resonance angiography: an update.

    abstract::Recent developments in renal magnetic resonance angiography have led to a significant improvement in the technical success rate and diagnostic accuracy of the methods. Specifically, three-dimensional contrast-enhanced magnetic resonance angiography methods have been shown to provide a more reliable depiction of renal ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/00042307-199803000-00006

    authors: Grist TM

    更新日期:1998-03-01 00:00:00

  • Prostate cancer prevention with 5-alpha reductase inhibitors: concepts and controversies.

    abstract:PURPOSE OF REVIEW:We review the concepts surrounding prostate cancer prevention strategies with 5-alpha reductase inhibitors (5-ARIs) and the controversies associated with their use. RECENT FINDINGS:Updated data have shown no increased risk of death from the diagnosis of higher risk cancer; however, 5-ARIs remain cont...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000464

    authors: Liss MA,Thompson IM

    更新日期:2018-01-01 00:00:00

  • Prevention and treatment of complications following percutaneous nephrolithotomy.

    abstract:PURPOSE OF REVIEW:The aim of this article is to identify classification and grading systems of percutaneous nephrolithotomy-related complications and evidence for the prevention and treatment of these complications. RECENT FINDINGS:A total complication rate of up to 83% following percutaneous nephrolithotomy was recog...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282f46afc

    authors: Skolarikos A,de la Rosette J

    更新日期:2008-03-01 00:00:00

  • Anatomic partial nephrectomy: technique evolution.

    abstract:PURPOSE OF REVIEW:Partial nephrectomy provides equivalent long-term oncologic and superior functional outcomes as radical nephrectomy for T1a renal masses. Herein, we review the various vascular clamping techniques employed during minimally invasive partial nephrectomy, describe the evolution of our partial nephrectomy...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000140

    authors: Azhar RA,Metcalfe C,Gill IS

    更新日期:2015-03-01 00:00:00

  • Strategies to prevent progression of high-risk bladder cancer at initial diagnosis.

    abstract:PURPOSE OF REVIEW:As high-risk nonmuscle invasive bladder cancer (NMIBC) has a high propensity to recur and progress, the primary therapeutic goal in patients with high-risk NMIBC is the prevention or delay of disease recurrence and progression. RECENT FINDINGS:For improving transurethral resection quality, new optica...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328356adff

    authors: Ku JH,Lerner SP

    更新日期:2012-09-01 00:00:00

  • Is robotic sacrocolpopexy a marketing gimmick or a technological advancement?

    abstract:PURPOSE OF REVIEW:Robot-assisted laparoscopic sacrocolpopexy (RALS) is a new surgical technique for the treatment of symptomatic vaginal vault prolapse that is rapidly gaining popularity among both urologists and gynecologists. This article will summarize the available published data to assess the potential advantages ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833aaa2b

    authors: Kim JH,Anger JT

    更新日期:2010-07-01 00:00:00

  • Neo-adjuvant and adjuvant treatment of locally invasive bladder cancer.

    abstract::Since Sternberg et al. in 1985 first published preliminary results of polychemotherapy in patients with metastatic bladder cancer, it became apparent that transitional carcinoma of the bladder is highly responsive to chemotherapy. Response rates up to 70% with combination therapy regimens like methotrexate, vinblastin...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-199909000-00009

    authors: Schultz-Lampel D,Lampel A

    更新日期:1999-09-01 00:00:00

  • Female neurogenic stress urinary incontinence.

    abstract:PURPOSE OF REVIEW:The aim of this article is to look into recent updates on the management of neurogenic stress urinary incontinence (NSUI) in adult females. RECENT FINDINGS:Recently, a small number of studies have investigated different surgical modalities in treatment of NSUI in adult females including artificial ur...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000785

    authors: Farag F,Doherty R,Arlandis S

    更新日期:2020-07-01 00:00:00

  • New concepts in regenerative medicine approaches to the treatment of female stress urinary incontinence.

    abstract:PURPOSE OF REVIEW:Update on recent regenerative medicine approaches to the treatment of stress urinary incontinence (SUI) caused by intrinsic sphincter deficiency (ISD). RECENT FINDINGS:In the treatment of female SUI/ISD, results using different types of cellular therapy have been disappointing, and new approaches are...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/MOU.0000000000000617

    authors: Bennington J,Williams JK,Andersson KE

    更新日期:2019-07-01 00:00:00

  • Diagnosis of localized prostate cancer: 10 years of progress.

    abstract::Advances in the diagnosis of early stage disease, and particularly the introduction of prostate-specific antigen (PSA) testing, have had a dramatic effect on the presentation and clinical management of prostate cancer during the past ten years. As a result, there have been significant epidemiological changes in countr...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200007000-00006

    authors: Feneley MR,Partin AW

    更新日期:2000-07-01 00:00:00

  • Current controversies in pediatric urologic robotic surgery.

    abstract:PURPOSE OF REVIEW:Minimally invasive surgeries such as conventional laparoscopic surgery and robotic assisted laparoscopic surgery (RALS) have significant advantages over the traditional open surgical approach including lower pain medication requirements and decreased length of hospitalization. However, open surgery ha...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32835b0ad2

    authors: Trevisani LF,Nguyen HT

    更新日期:2013-01-01 00:00:00

  • Recent advances in robot-assisted radical cystectomy.

    abstract:PURPOSE OF REVIEW:The prevalence of robot-assisted radical cystectomy is steadily increasing. We review the recent literature evaluating this technique as a minimally invasive alternative to open radical cystectomy for the treatment of bladder cancer. RECENT FINDINGS:Within the last year, numerous robot-assisted radic...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/mou.0b013e32834112a3

    authors: Cha EK,Wiklund NP,Scherr DS

    更新日期:2011-01-01 00:00:00

  • Environmental factors promoting bladder cancer.

    abstract:PURPOSE OF REVIEW:To understand the molecular mechanisms of bladder carcinogenesis in relation to environmental carcinogens in order to provide a given population with a preventive value of bladder cancer. RECENT FINDINGS:Cigarette smoking, aromatic amines contained in dyes, chronic inflammation due to infection such ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32832eb4ef

    authors: Hirao Y,Kim WJ,Fujimoto K

    更新日期:2009-09-01 00:00:00

  • Interstitial brachytherapy for prostate cancer--just an expensive variant of 'watchful waiting'?

    abstract::As a result of the recent resurgence of interest in interstitial brachytherapy, extended follow-up studies of early experience in this field are now being reported. However, such outcomes must be evaluated within the context of recent comprehensive assessments of the age-specific natural history of conservatively mana...

    journal_title:Current opinion in urology

    pub_type: 社论,评审

    doi:10.1097/00042307-199905000-00001

    authors: Walther PJ

    更新日期:1999-05-01 00:00:00

  • The prognostic value of hematological and systemic inflammatory disorders in invasive bladder cancer.

    abstract:PURPOSE OF REVIEW:In contrast to the large amount of evidence reporting on the oncological significance of various clinicopathological and molecular parameters for survival in invasive bladder cancer, alterations of preoperative hematological and systemic inflammatory parameters have not been sufficiently addressed in ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32834966fa

    authors: Gakis G,Todenhöfer T,Stenzl A

    更新日期:2011-09-01 00:00:00

  • Advancements in staging and imaging for penile cancer.

    abstract:PURPOSE OF REVIEW:We review recent advancements in staging and imaging of penile cancer, including surveillance after therapy. RECENT FINDINGS:For cN0 patients, the sentinel lymph node biopsy is currently considered the preferred way for invasive staging. It has largely replaced other modalities such as staging inguin...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000447

    authors: Ottenhof SR,Leone AR,Horenblas S,Spiess PE,Vegt E

    更新日期:2017-11-01 00:00:00

  • Synthetic slings: which material, which approach.

    abstract:PURPOSE OF REVIEW:The success in the use of the tension-free midurethral sling procedures (tension-free vaginal tape, suprapubic arch, transobturator tape) has dramatically altered the approach to the surgical management of stress urinary incontinence in women and marked a resurgence in the use of mesh. We will analyze...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000232042.95427.9f

    authors: Roth CC,Holley TD,Winters JC

    更新日期:2006-07-01 00:00:00

  • Current evidence for focal therapy and partial gland ablation for organ-confined prostate cancer: systematic review of literature published in the last 2 years.

    abstract:PURPOSE OF REVIEW:The shift in the diagnostic algorithm for prostate cancer to early imaging with mpMRI has resulted in many patients being diagnosed with small volume, apparently unilateral, clinically significant cancers. In these patients, a minimally invasive, nonmorbid intervention is appealing. The aim of this st...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/MOU.0000000000000838

    authors: Kayano PP,Klotz L

    更新日期:2021-01-01 00:00:00

  • Total intracorporeal robotic cystectomy: are we there yet?

    abstract:PURPOSE OF REVIEW:To provide discussion on several recently published case series describing complete intracorporeal robotic cystectomy. Are we making a complex and expensive procedure more challenging or are there patient benefits to be realized from a complete minimally invasive approach? We discuss how effective and...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32835d4cda

    authors: Collins JW,Wiklund PN,Desai MM,Goh AC,Gill IS

    更新日期:2013-03-01 00:00:00

  • Modern pharmacotherapy for erectile dysfunction: evolving concepts with central and peripheral acting agents.

    abstract::Pharmacotherapy for men experiencing erectile dysfunction has undergone dramatic advances over the past 5 years with the introduction of an effective oral agent. Sildenafil has increased the pool of couples seeking treatment for this important health issue as well as expanding the numbers of physicians treating it. Re...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200111000-00011

    authors: Brock GB,Bochinski D

    更新日期:2001-11-01 00:00:00

  • Extended lymphadenectomy in bladder cancer.

    abstract:PURPOSE OF REVIEW:Radical cystectomy with pelvic lymph node dissection (PLND) is the preferred treatment for invasive bladder cancer. It not only results in the best disease-free term survival rates, but also provides the most accurate disease staging and most effective local symptom control. Recent investigations have...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833c9194

    authors: Dorin RP,Skinner EC

    更新日期:2010-09-01 00:00:00

  • The challenge of stress incontinence and pelvic organ prolapse: revisiting biologic mesh materials.

    abstract:PURPOSE OF REVIEW:The present article reviews the history of mesh-related complications and regulations in SUI and POP repair settings, clinical outcomes associated with the use of biologic and synthetic mesh materials, and novel approaches using modified mesh materials. RECENT FINDINGS:Treatment of pelvic floor disor...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000645

    authors: D'Angelo W,Dziki J,Badylak SF

    更新日期:2019-07-01 00:00:00

  • Female urinary microbiota.

    abstract:PURPOSE OF REVIEW:The newly discovered female urinary microbiota has the potential to deepen our understanding of urinary tract health and disease, including common lower urinary tract conditions such as urinary incontinence and urinary tract infection. The spectrum of painful bladder disorders and other less common co...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000396

    authors: Mueller ER,Wolfe AJ,Brubaker L

    更新日期:2017-05-01 00:00:00

  • Prostate-specific membrane antigen PET/computed tomography for staging prostate cancer.

    abstract:PURPOSE OF REVIEW:Molecular imaging with PET/CT targeting the prostate-specific membrane antigen (PSMA) receptor is increasingly utilized in men with prostate cancer (PCa), with clinical indications now expanding beyond biochemical recurrence. PSMA PET/CT often detects sub-centimetre size pathologic nodes and low-volum...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000799

    authors: Ravi Kumar AS,Lawrentschuk N,Hofman MS

    更新日期:2020-09-01 00:00:00

  • Molecular subtyping of prostate cancer.

    abstract:PURPOSE OF REVIEW:The recent publication of The Cancer Genome Atlas molecular taxonomy of primary prostate cancer highlights the increased understanding of the genomic basis of human prostate cancer, but also emphasizes the complexity and heterogeneity of prostate cancer. RECENT FINDINGS:Seven molecular subclasses hav...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000285

    authors: Kaffenberger SD,Barbieri CE

    更新日期:2016-05-01 00:00:00

  • Risk prediction in the management of small renal masses.

    abstract:PURPOSE OF REVIEW:Small renal masses (SRMs) are frequently encountered due to the ubiquitous use of abdominal cross-sectional imaging. Enhanced risk prediction in the management of SRMs would allow for a more informed decision of which, if any, patients would benefit from the available intervention modalities. RECENT ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328355ede9

    authors: Bagrodia A,Darwish OM,Rapoport Y,Margulis V

    更新日期:2012-09-01 00:00:00

  • Clinical implications of genitourinary embryology.

    abstract:PURPOSE OF REVIEW:This review focuses on recent advances in molecular embryology of the upper and lower urinary tract with an emphasis on clinical correlation in order to gain a better understanding for the mechanism of congenital anomalies. RECENT FINDINGS:Normal morphogenesis of the kidney, ureteral bud differentiat...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32832c90ff

    authors: Shapiro E

    更新日期:2009-07-01 00:00:00

  • Management of pediatric neurogenic bladder.

    abstract:PURPOSE OF REVIEW:To review the most current literature regarding the management of neurogenic bladder in children. RECENT FINDINGS:Several recent papers have addressed the investigation and management of children with neurogenic bladder. Bladder wall thickness as measured by ultrasound may identify the children with ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32832c9178

    authors: MacLellan DL

    更新日期:2009-07-01 00:00:00

  • Residual stone fragments: clinical implications and technological innovations.

    abstract:PURPOSE OF REVIEW:To summarize the recent literature on the topic of residual stone fragments in particular novel developments in this field. RECENT FINDINGS:The urological position towards residual fragments has shifted in recent years from observation, to active retrieval with innovative methods, to algorithm-based ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000571

    authors: Suarez-Ibarrola R,Hein S,Miernik A

    更新日期:2019-03-01 00:00:00