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Female Voiding Dysfunction

  • Chapter
The Overactive Pelvic Floor

Abstract

The pathophysiologic mechanisms of female voiding dysfunction are poorly understood, and there are neither standard definitions nor guidelines for diagnosis and treatment. Conceptually, voiding phase dysfunction may be due to bladder and/or outlet causes. Bladder causes include detrusor contraction of inadequate magnitude and/or duration to effect bladder emptying (detrusor underactivity) or the absence of detrusor contraction (detrusor areflexia). Outlet causes consist of bladder outlet obstruction due to urethral sphincter over activity (functional obstruction) or anatomical pathologies (mechanical obstruction). Etiology of female voiding dysfunction is multifactorial and several different pathophysiologic mechanisms and clinical entities, including overactive pelvic floor (OPF) are suggested. Accurate diagnosis and optimal management of these clinical entities are yet to be defined.

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Author information

Authors and Affiliations

  1. Urogynecology, Lis Maternity Hospital, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Asnat Groutz M.D.

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  1. Asnat Groutz M.D.
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Correspondence to Asnat Groutz M.D. .

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Editors and Affiliations

  1. Urogynecology and Pelvic Floor Service, Assaf Harofeh Medical Center, Zerifin, Israel

    Anna Padoa

  2. Inner Stability, Ltd, Beit Shemesh, Israel

    Talli Y. Rosenbaum

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© 2016 Springer International Publishing Switzerland

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Groutz, A. (2016). Female Voiding Dysfunction. In: Padoa, A., Rosenbaum, T. (eds) The Overactive Pelvic Floor. Springer, Cham. https://doi.org/10.1007/978-3-319-22150-2_8

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  • DOI: https://doi.org/10.1007/978-3-319-22150-2_8

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-22149-6

  • Online ISBN: 978-3-319-22150-2

  • eBook Packages: MedicineMedicine (R0)

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