[A case of psychological non-neuropathic bladder successfully diagnosed by continuous monitoring of detrusor pressure].
We report a case of psychological non-neuropathic bladder difficult to diagnose and treat. A 44-year-old woman was admitted to the Department of Urology of the Asahikawa Medical College Hospital with complaints of difficulty in micturition and urinary incontinence. Urodynamic studies revealed underactive function of the detrusor and incompetent urethra. She was instructed in self intermittent catheterization for difficulty in micturition. Drug therapy, electrical stimulation and vesicourethral suspension were not effective to control urinary incontinence. Since uninhibited detrusor contraction was elicited by psychogenic stress during continuous monitoring of the detrusor function, she was diagnosed as psychological non-neuropathic bladder closely related to psychogenic factor. She had a careful counselling and medical treatment designed by her psychiatrist, urinary incontinence was remitted in about one year and a half.
Mizunaga
M
M
Department of Urology, Asahikawa Medical College.
Morikawa
M
M
Miyata
M
M
Kaneko
S
S
Yachiku
S
S
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008365:Manometry; D008991:Monitoring, Physiologic; D001743:Urinary Bladder / Q000503:physiopathology*; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis*; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy