caa a22 4500 475811518 CHVBK 20180406123800.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s001920070035 doi (NATIONALLICENCE)springer-10.1007/s001920070035 Urodynamic Assessment of Voiding Dysfunction and Dysfunctional Voiding in Girls and Women [Elektronische Daten] [K. Everaert, E. Van Laecke, M. De Muynck, H. Peeters, P. Hoebeke] Abstract:: Voiding dysfunction is defined as impaired bladder emptying, and presents with a mixture of lower urinary tract symptoms. Dysfunctional voiding is a condition in which there is a lack of coordination between the sphincter and detrusor during emptying in a patient without overt uropathy or neuropathy. Assessment of voiding dysfunction is important in women and girls in the prevention and treatment of urinary incontinence, retention, urinary tract infection and subsequent kidney damage. Accurate diagnosis is essential in order to select the correct treatment. Screening can be done by history-taking: symptom scores can help to guide the screening. More objective measures are uroflowmetry, ultrasonography and videourodynamics. The latter is the gold standard for the diagnosis of voiding dysfunction and consists of simultaneous registration of pressure in the bladder and rectum and external sphincter behavior, either by electromyographic recording of pelvic floor activity or by pressure recording at the external sphincter, during the whole bladder cycle of filling and emptying. On fluoroscopy the bladder can be visualized throughout the filling and emptying phase. In dysfunctional voiding, hypertonicity and instability of the external urethral sphincter during filling cystometry and impaired external sphincter relaxation during emptying are pathognomonic findings. Pressure-flow analysis reveals no obstruction and the detrusor contractility is low. Springer-Verlag London Limited, 2000 Key words:Biofeedback - Dysfunctional voiding - Neuromodulation - Pelvic floor - Urodynamics - Voiding dysfunction nationallicence Everaert K. University Hospital of Ghent, Ghent, Belgium, BE aut Van Laecke E. University Hospital of Ghent, Ghent, Belgium, BE aut De Muynck M. University Hospital of Ghent, Ghent, Belgium, BE aut Peeters H. University Hospital of Ghent, Ghent, Belgium, BE aut Hoebeke P. University Hospital of Ghent, Ghent, Belgium, BE aut https://doi.org/10.1007/s001920070035 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920070035 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Everaert K. University Hospital of Ghent, Ghent, Belgium, BE aut NATIONALLICENCE 700 1- Van Laecke E. University Hospital of Ghent, Ghent, Belgium, BE aut NATIONALLICENCE 700 1- De Muynck M. University Hospital of Ghent, Ghent, Belgium, BE aut NATIONALLICENCE 700 1- Peeters H. University Hospital of Ghent, Ghent, Belgium, BE aut NATIONALLICENCE 700 1- Hoebeke P. University Hospital of Ghent, Ghent, Belgium, BE aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer