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Year : 1996  |  Volume : 12  |  Issue : 2  |  Page : 55-59

Non-neurogenic, non-organic urinary retention in female : an indication for urodynamic evaluation.

Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

Correspondence Address:
A Kumar
Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

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Source of Support: None, Conflict of Interest: None

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In the absence of any local or systemic pathology, urinary retention in females is a very rare clinical entity. 21 such females constituted the study group. All these females underwent detailed investigations to rule out any local or systemic disorder causing retention. Initially bladder was decompressed for 7-10 days by indwelling catheter after that patients were advised to practise clean intermittent self-catheterization (CISC). All patients underwent videourodynamics study after 406 weeks of bladder decompression. The study was repeated 8-12 weeks later. Functional bladder neck obstruction was the commonest aetiology (n=10) which was successfully treated with CISC or bladder neck incision (BNI). Psychogenic retention was seen in 5 patients and they could be rehabilitated with biofeedback and psychotherapy. Underactive detrusor was responsible for retention in 6 patients which necessitated CISC. Role of urodynamic evaluation and treatment of individual pathology is discussed.

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