title: Is there a relationship between chronic bladder dysfunction and somatic symptoms in other body regions? 1. Clinical observations.
abstract: OBJECTIVE
  Investigation of patients with chronic bladder dysfunction regarding associated general symptoms and complaints in the cervico-facial, upper and lower extremity regions.
  
  
  METHODS
  We retrospectively evaluated history, physical and special neurourological examination and urodynamic studies in 213 patients with non-neurogenic bladder dysfunction.
  
  
  RESULTS
  22 patients out of 213 patients with chronic bladder dysfunction reported reproducible associated symptoms involving the temporo-mandibular joint, the distal forearm/hand or feet and headache. There was an obvious clinical connection regarding the severity of bladder dysfunction and associated symptoms and possible relief of both by successful treatment.
  
  
  CONCLUSIONS
  Symptomatic lower urinary tract dysfunction may accompanied by specific muscular and or sensory disturbances in different areas of the body. These associated pathologies in patients without neurological disease can be explained by functional changes in a complex autonomic peripheral and central nervous network.
authors.affiliation: Neuro-Urology Lab and Neuro-Urology Unit, Department of Urology, University of Colorado Health Science Center, Denver, CO, USA. dh.zermann@med.uni-jena.de
authors.forename: Dirk-Henrik
authors.initials: DH
authors.lastname: Zermann
authors.forename: Manabu
authors.initials: M
authors.lastname: Ishigooka
authors.forename: Jörg
authors.initials: J
authors.lastname: Schubert
authors.forename: Richard A
authors.initials: RA
authors.lastname: Schmidt
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000150:complications*; D012189:Retrospective Studies; D020886:Somatosensory Disorders / Q000150:complications*; D001745:Urinary Bladder Diseases / Q000150:complications*