Detrusor underactivity and the underactive bladder: A new clinical entity? a review of current terminology, definitions, epidemiology, aetiology, and diagnosis

European Urology

Volumn 65, Issue 2, 2014, Pages 389-398

  Osman, Nadir I ^a   Chapple, Christopher R ^a   Abrams, Paul ^b   Dmochowski, Roger ^c   Haab, François ^d   Nitti, Victor ^e   Koelbl, Heinz ^f   Van Kerrebroeck, Philip ^g   Wein, Alan J ^h  

^a ROYAL HALLAMSHIRE HOSPITAL   (United Kingdom)

^b UNIVERSITY OF BRISTOL   (United Kingdom)

^c VANDERBILT UNIVERSITY MEDICAL CENTER   (United States)

^d HÔPITAL TENON   (France)

^e NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

^f MEDICAL UNIVERSITY OF VIENNA   (Austria)

^g MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

^h UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

Chronic urinary retention; Detrusor failure; Detrusor underactivity; Underactive bladder

Indexed keywords

AREFLEXIA; FLOW RATE; GALLBLADDER CONTRACTION; HUMAN; LOWER URINARY TRACT SYMPTOM; MICTURITION; POSTVOID RESIDUAL URINE VOLUME; PRIORITY JOURNAL; REVIEW; UNDERACTIVE BLADDER; URINARY DYSFUNCTION; URINE RETENTION;

CHRONIC URINARY RETENTION; DETRUSOR FAILURE; DETRUSOR UNDERACTIVITY; UNDERACTIVE BLADDER;

CONSENSUS; FEMALE; HUMANS; LOWER URINARY TRACT SYMPTOMS; MALE; PREDICTIVE VALUE OF TESTS; PROGNOSIS; RISK FACTORS; TERMINOLOGY AS TOPIC; URINARY BLADDER; URINARY BLADDER DISEASES; URODYNAMICS;

EID: 84891825524     PISSN: 03022838     EISSN: 18737560     Source Type: Journal    
DOI: 10.1016/j.eururo.2013.10.015     Document Type: Review

References (82)

1. P. Abrams, L. Cardozo, and M. Fall et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society Neurourol Urodyn 21 2002 167 178
2. G.A. van Koeveringe, B. Vahabi, K.E. Andersson, R. Kirschner-Herrmans, and M. Oelke Detrusor underactivity: a plea for new approaches to a common bladder dysfunction Neurourol Urodyn 30 2011 723 728
3. S. Madjar, and R.A. Appell Impaired detrusor contractility: anything new? Curr Urol Rep 3 2002 373 377
4. J.B. Anderson, and J.B. Grant Postoperative retention of urine: a prospective urodynamic study BMJ 302 1991 894 896
5. R. Krane, and M. Siroky Classification of voiding dysfunction: value of classification systems D. Barrett, A. Wein, Controversies in neuro-urology 1984 Churchill Livingstone New York, NY 223 238
6. S. Alexander, and D. Rowan Treatment of patients with hypotonic bladder by radio-implant Br J Surg 59 1972 302
7. R.S. Kirby, C. Fowler, and S.A. Gilpin et al. Non-obstructive detrusor failure. A urodynamic, electromyographic, neurohistochemical and autonomic study Br J Urol 55 1983 652 659
8. N. Skaug, and R. Detar Contractility of vascular smooth muscle: maximum ability to contract in response to a stimulus Am J Physiol 240 1981 H971 H979
9. R. Turner-Warwick, C.G. Whiteside, P.H. Worth, E.J. Milroy, and C.P. Bates A urodynamic view of the clinical problems associated with bladder neck dysfunction and its treatment by endoscopic incision and trans-trigonal posterior prostatectomy Br J Urol 45 1973 44 59
10. A. Cucchi, S. Quaglini, C. Guarnaschelli, and B. Rovereto Urodynamic findings suggesting two-stage development of idiopathic detrusor underactivity in adult men Urology 70 2007 75 79
11. M.B. Chancellor, and J. Kaufman Case for pharmacotherapy development for underactive bladder Urology 72 2008 966 967
12. H. Hashim, and P. Abrams Is the bladder a reliable witness for predicting detrusor overactivity? J Urol 175 2006 191 194 discussion 194-5
13. M.B. Chancellor, J.G. Blaivas, S.A. Kaplan, and S. Axelrod Bladder outlet obstruction versus impaired detrusor contractility: the role of outflow J Urol 145 1991 810 812
14. P.H. Abrams, and D.J. Griffiths The assessment of prostatic obstruction from urodynamic measurements and from residual urine Br J Urol 51 1979 129 134
15. N.M. Resnick, and S.V. Yalla Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in elderly patients JAMA 257 1987 3076 3081
16. P. Abrams Urodynamics ed. 3. 2006 Springer London, UK
17. A.W. Thomas, A. Cannon, E. Bartlett, J. Ellis-Jones, and P. Abrams The natural history of lower urinary tract dysfunction in men: minimum 10-year urodynamic follow-up of untreated detrusor underactivity BJU Int 96 2005 1295 1300
18. J.A. Massey, and P.H. Abrams Obstructed voiding in the female Br J Urol 61 1988 36 39
19. C.J. Fowler, T.J. Christmas, C.R. Chapple, H.F. Parkhouse, R.S. Kirby, and H.S. Jacobs Abnormal electromyographic activity of the urethral sphincter, voiding dysfunction, and polycystic ovaries: a new syndrome? BMJ 297 1988 1436 1438
20. P.P. Smith, E.A. Hurtado, and R.A. Appell Post hoc interpretation of urodynamic evaluation is qualitatively different than interpretation at the time of urodynamic study Neurourol Urodyn 28 2009 998 1002
21. F. Fusco, A. Groutz, J.G. Blaivas, D.C. Chaikin, and J.P. Weiss Videourodynamic studies in men with lower urinary tract symptoms: a comparison of community based versus referral urological practices J Urol 166 2001 910 913
22. H.C. Kuo Videourodynamic analysis of pathophysiology of men with both storage and voiding lower urinary tract symptoms Urology 70 2007 272 276
23. V.W. Nitti, G. Lefkowitz, M. Ficazzola, and C.M. Dixon Lower urinary tract symptoms in young men: videourodynamic findings and correlation with noninvasive measures J Urol 168 2002 135 138
24. C.C. Wang, S.S. Yang, Y.T. Chen, and J.H. Hsieh Videourodynamics identifies the causes of young men with lower urinary tract symptoms and low uroflow Eur Urol 43 2003 386 390
25. S.A. Kaplan, E.F. Ikeguchi, and R.P. Santarosa et al. Etiology of voiding dysfunction in men less than 50 years of age Urology 47 1996 836 839
26. H. Karami, R. Valipour, B. Lotfi, H. Mokhtarpour, and A. Razi Urodynamic findings in young men with chronic lower urinary tract symptoms Neurourol Urodyn 30 2011 1580 1585
27. J. Abarbanel, and E.L. Marcus Impaired detrusor contractility in community-dwelling elderly presenting with lower urinary tract symptoms Urology 69 2007 436 440
28. S.J. Jeong, H.J. Kim, and Y.J. Lee et al. Prevalence and clinical features of detrusor underactivity among elderly with lower urinary tract symptoms: a comparison between men and women Korean J Urol 53 2012 342 348
29. N.M. Resnick, S.V. Yalla, and E. Laurino The pathophysiology of urinary incontinence among institutionalized elderly persons N Engl J Med 320 1989 1 7
30. N.M. Resnick, G.H. Brandeis, M.M. Baumann, C.E. DuBeau, and S.V. Yalla Misdiagnosis of urinary incontinence in nursing home women: prevalence and a proposed solution Neurourol Urodyn 15 1996 599 613 discussion 613-8
31. A. Groutz, D. Gordon, J.B. Lessing, I. Wolman, A. Jaffa, and M.P. David Prevalence and characteristics of voiding difficulties in women: are subjective symptoms substantiated by objective urodynamic data? Urology 54 1999 268 272
32. F.A. Valentini, G. Robain, and B.G. Marti Urodynamics in women from menopause to oldest age: what motive? What diagnosis? Int Braz J Urol 37 2011 100 107
33. A.M. Suskind, and P.P. Smith A new look at detrusor underactivity: impaired contractility versus afferent dysfunction Curr Urol Rep 10 2009 347 351
34. K.E. Andersson, and A. Arner Urinary bladder contraction and relaxation: physiology and pathophysiology Physiol Rev 84 2004 935 986
35. A. Elbadawi, S.V. Yalla, and N.M. Resnick Structural basis of geriatric voiding dysfunction. II. Aging detrusor: normal versus impaired contractility J Urol 150 1993 1657 1667
36. A. Elbadawi, S.V. Yalla, and N.M. Resnick Structural basis of geriatric voiding dysfunction. III. Detrusor overactivity J Urol 150 1993 1668 1680
37. A. Elbadawi, S.V. Yalla, and N.M. Resnick Structural basis of geriatric voiding dysfunction. IV. Bladder outlet obstruction J Urol 150 1993 1681 1695
38. A. Elbadawi, S. Hailemariam, S.V. Yalla, and N.M. Resnick Structural basis of geriatric voiding dysfunction. VI. Validation and update of diagnostic criteria in 71 detrusor biopsies J Urol 157 1997 1802 1813
39. R.D. Brierly, R.G. Hindley, E. McLarty, D.M. Harding, and P.J. Thomas A prospective controlled quantitative study of ultrastructural changes in the underactive detrusor J Urol 169 2003 1374 1378
40. R.D. Brierly, R.G. Hindley, E. McLarty, D.M. Harding, and P.J. Thomas A prospective evaluation of detrusor ultrastructural changes in bladder outlet obstruction BJU Int 91 2003 360 364
41. R.M. Levin, P.A. Longhurst, B. Barasha, E.J. McGuire, A. Elbadawi, and A.J. Wein Studies on experimental bladder outlet obstruction in the cat: long-term functional effects J Urol 148 1992 939 943
42. A.W. Thomas, A. Cannon, E. Bartlett, J. Ellis-Jones, and P. Abrams The natural history of lower urinary tract dysfunction in men: minimum 10-year urodynamic follow-up of untreated bladder outlet obstruction BJU Int 96 2005 1301 1306
43. W.C. de Groat, I. Araki, and M.A. Vizzard et al. Developmental and injury induced plasticity in the micturition reflex pathway Behav Brain Res 92 1998 127 140
44. K. Sugaya, Y. Ogawa, T. Hatano, S. Nishijima, K. Matsuyama, and S. Mori Ascending and descending brainstem neuronal activity during cystometry in decerebrate cats Neurourol Urodyn 22 2003 343 350
45. K. Sugaya, S. Nishijima, M. Miyazato, and Y. Ogawa Central nervous control of micturition and urine storage J Smooth Muscle Res 41 2005 117 132
46. B.F. Blok, A.T. Willemsen, and G. Holstege A PET study on brain control of micturition in humans Brain 120 1997 111 121
47. S.A. Gilpin, C.J. Gilpin, J.S. Dixon, J.A. Gosling, and R.S. Kirby The effect of age on the autonomic innervation of the urinary bladder Br J Urol 58 1986 378 381
48. J.A. Gosling, S.A. Gilpin, J.S. Dixon, and C.J. Gilpin Decrease in the autonomic innervation of human detrusor muscle in outflow obstruction J Urol 136 1986 501 504
49. J.L. Feber, E. van Asselt, and R. van Mastrigt Neurophysiological modeling of voiding in rats: urethral nerve response to urethral pressure and flow Am J Physiol 274 1998 R1473 R1481
50. R.C. Bump The urethrodetrusor facilitative reflex in women: results of urethral perfusion studies Am J Obstet Gynecol 182 2000 794 802 discussion 804
51. W. Schäfer, F. Waterbär, P.-H. Langen, and F.J. Deutz A simplified graphic procedure for detailed analysis of detrusor and outlet function during voiding Neurourol Urodyn 8 1989 405 407
52. D.J. Rosario, H.H. Woo, and C.R. Chapple Definition of normality of pressure-flow parameters based on observations in asymptomatic men Neurourol Urodyn 27 2008 388 394
53. F. Schmidt, P. Shin, T.M. Jorgensen, J.C. Djurhuus, and C.E. Constantinou Urodynamic patterns of normal male micturition: influence of water consumption on urine production and detrusor function J Urol 168 2002 1458 1463
54. M.H. Pfisterer, D.J. Griffiths, W. Schaefer, and N.M. Resnick The effect of age on lower urinary tract function: a study in women J Am Geriatr Soc 54 2006 405 412
55. D.J. Griffiths Editorial: bladder failure - a condition to reckon with J Urol 169 2003 1011 1012
56. D. Griffiths Detrusor contractility - order out of chaos Scand J Urol Nephrol Suppl 2004 93 100
57. D.J. Griffiths The mechanics of the urethra and of micturition Br J Urol 45 1973 497 507
58. A.V. Hill The heat of shortening and the dynamic constants of muscle Proc R Soc Lond B Biol Sci 126 1938 136
59. D.J. Griffiths Assessment of detrusor contraction strength or contractility Neurourol Urodyn 10 1991 1 18
60. D.J. Griffiths, C.E. Constantinou, and R. van Mastrigt Urinary bladder function and its control in healthy females Am J Physiol 251 1986 R225 R230
61. H.S. Lecamwasam, S.V. Yalla, E.G. Cravalho, and M.P. Sullivan The maximum watts factor as a measure of detrusor contractility independent of outlet resistance Neurourol Urodyn 17 1998 621 635
62. W. Schäfer Basic principles and advanced analysis of bladder voiding function Urol Clin North Am 17 1990 533 566
63. W. Schäfer Analysis of bladder-outlet function with the linearized passive urethral resistance relation, linPURR, and a disease-specific approach for grading obstruction: from complex to simple World J Urol 13 1995 47 58
64. P. Abrams Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function BJU Int 84 1999 14 15
65. M. Sullivan, and S.V. Yalla Functional studies to assess bladder contractility J Urol Urogynakol 14 2007 7 10
66. M.P. Sullivan, C.E. DuBeau, N.M. Resnick, E.G. Cravalho, and S.V. Yalla Continuous occlusion test to determine detrusor contractile performance J Urol 154 1995 1834 1840
67. T.L. Tan, M.A. Bergmann, D. Griffiths, and N.M. Resnick Which stop test is best? Measuring detrusor contractility in older females J Urol 169 2003 1023 1027
68. M.P. Sullivan, and S.V. Yalla Detrusor contractility and compliance characteristics in adult male patients with obstructive and nonobstructive voiding dysfunction J Urol 155 1996 1995 2000
69. S.L. McIntosh, M.J. Drinnan, C.J. Griffiths, W.A. Robson, P.D. Ramsden, and R.S. Pickard Noninvasive assessment of bladder contractility in men J Urol 172 2004 1394 1398
70. J.J. Pel, and R. van Mastrigt Non-invasive measurement of bladder pressure using an external catheter Neurourol Urodyn 18 1999 455 469 discussion 469-75
71. C. Blake, and P. Abrams Noninvasive techniques for the measurement of isovolumetric bladder pressure J Urol 171 2004 12 19
72. A. Cucchi, S. Quaglini, and B. Rovereto Different evolution of voiding function in underactive bladders with and without detrusor overactivity J Urol 183 2010 229 233
73. A. Cucchi, S. Quaglini, and B. Rovereto Development of idiopathic detrusor underactivity in women: from isolated decrease in contraction velocity to obvious impairment of voiding function Urology 71 2008 844 848
74. A. Cucchi, S. Quaglini, and B. Rovereto Proposal for a urodynamic redefinition of detrusor underactivity J Urol 181 2009 225 229
75. G.A. van Koeveringe, M.S. Rahnama'i, and B.C. Berghmans The additional value of ambulatory urodynamic measurements compared with conventional urodynamic measurements BJU Int 105 2010 508 513
76. M.B. Siroky Interpretation of urinary flow rates Urol Clin North Am 17 1990 537 542
77. J.J. Wyndaele The normal pattern of perception of bladder filling during cystometry studied in 38 young healthy volunteers J Urol 160 1998 479 481
78. E. Erdem, E. Akbay, E. Doruk, S. Cayan, D. Acar, and E. Ulusoy How reliable are bladder perceptions during cystometry? Neurourol Urodyn 23 2004 306 309 discussion 310
79. S. De Wachter, T.D. Van Meel, and J.J. Wyndaele Can a faked cystometry deceive patients in their perception of filling sensations? A study on the reliability of spontaneously reported cystometric filling sensations in patients with non-neurogenic lower urinary tract dysfunction Neurourol Urodyn 27 2008 395 398
80. J.J. Wyndaele Study on the correlation between subjective perception of bladder filling and the sensory threshold towards electrical stimulation in the lower urinary tract J Urol 147 1992 1582 1584
81. S. De Wachter, and J.J. Wyndaele Can the sensory threshold toward electrical stimulation be used to quantify the subjective perception of bladder filling? A study in young healthy volunteers Urology 57 2001 655 658 discussion 658-9
82. K. De Laet, S. De Wachter, and J.J. Wyndaele Current perception thresholds in the lower urinary tract: sine- and square-wave currents studied in young healthy volunteers Neurourol Urodyn 24 2005 261 266