Some develop the symptoms of an overactive bladder while others might have an underactive bladder.
Symptoms of an underactive bladder include difficulty in starting to urinate or passing only a dribbling stream of urine that falls off quickly.
Classification System for Bladder Storage and Emptying Failure to Store Failure to Empty Bladder Urge incontinence/detrusor Underactive bladder
overactivity (hypotonic, atonic) overflow incontinence/poor compliance Outlet/urethra Stress incontinence Obstruction (BPH, strictures, prolapse) dsd (detrusor sphincter dyssnergia) Source: Adapted from Wein, 1981.
Urological conditions such as overactive bladder (OAB), underactive bladder, and dysfunctional voiding can be part of BBD.
Typically, children with underactive bladder (UB) voluntarily bend over or push the abdomen, in attempt to increase intra-abdominal pressure and start or complete voiding.
Clean intermittent catheterisation (CIC) is a form of management that is essential in the child with dysfunctional voiding with a large bladder residual from an underactive bladder
But it only gets a C for male pattern baldness and underactive bladder
Measuring voided volume and post-voiding residual helps to differentiate between uninhibited bladder (urge incontinence) and an underactive bladder
Unique to this book are chapters discussing the transition in care for childhood urologic conditions that carry over to adulthood, a discussion of underactive bladder
, and a review of urologic procedures that can be performed by the urology advanced practice provider.