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Clinical characteristics of Pseudo‐dyssynergia
Author(s) -
Siroky Mike B.
Publication year - 1986
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.1930050313
Subject(s) - dyssynergia , medicine , pelvic floor , detrusor sphincter dyssynergia , urination , physical medicine and rehabilitation , reflex , physical therapy , sphincter , anesthesia , surgery , neurological disorder , urinary system , central nervous system disease
Pseudo‐dyssynergia is distinguished from true vesico‐sphincter dyssynergia by the voluntary, as opposed to reflex, nature of the sphincteric contraction. Pseudo‐ dyssynergia (PSD) occurs clinically in association with functional voiding disorders, neurologic disorders and local disorders of the bladder. The diagnosis of PSD depends on the demonstration that dyssynergic contractions of the pelvic floor occur during micturition and that these contractions can be voluntarily suppressed by the patient. Treatment of PSD is based on a combination of pharmacologic, psychologic and educative techniques which are individually discussed.