title: Primary bladder neck obstruction may be determined by postural imbalances.
abstract: Primary bladder neck obstruction (PBNO) is a frequent under-investigated urological condition in which the bladder neck fails to open adequately during voiding. In the majority of cases no known etiological factor can be found. In this study we propose a new hypothesis to explain the origin of the disease in young male patients with no neurological disorders. We suggest a possible role of an unbalanced biomechanics of the pelvis on urethral sphincters activity and on functional bladder capacity. To support the proposed hypothesis, we present pilot gait analysis data of young male patients with primary bladder neck obstruction.
authors.affiliation: Dpt. of Biomedical Sciences for Health, Università degli Studi di Milano, via Mangiagalli 31, 20133 Milano, Italy. Electronic address: tommaso.camerota@unimi.it.
authors.forename: Tommaso Ciro
authors.initials: TC
authors.lastname: Camerota
authors.affiliation: Dpt. of Biomedical Sciences for Health, Università degli Studi di Milano, via Mangiagalli 31, 20133 Milano, Italy. Electronic address: matteo.zago@unimi.it.
authors.forename: Matteo
authors.initials: M
authors.lastname: Zago
authors.affiliation: Dpt. of Biomedical Sciences for Health, Università degli Studi di Milano, via Mangiagalli 31, 20133 Milano, Italy. Electronic address: pisu.stefano90@gmail.com.
authors.forename: Stefano
authors.initials: S
authors.lastname: Pisu
authors.affiliation: Dpt. of Biomedical Sciences for Health, Università degli Studi di Milano, via Mangiagalli 31, 20133 Milano, Italy. Electronic address: daniela.ciprandi@unimi.it.
authors.forename: Daniela
authors.initials: D
authors.lastname: Ciprandi
authors.affiliation: Dpt. of Biomedical Sciences for Health, Università degli Studi di Milano, via Mangiagalli 31, 20133 Milano, Italy. Electronic address: chiarella.sforza@unimi.it.
authors.forename: Chiarella
authors.initials: C
authors.lastname: Sforza
mesh_terms: D000293:Adolescent; D000328:Adult; D000842:Ankle / Q000502:physiology; D001696:Biomechanical Phenomena; D004594:Electrophysiology; D005260:Female; D006615:Hip / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000473:pathology; D011187:Posture; D014521:Urethra; D001743:Urinary Bladder / Q000503:physiopathology; D001748:Urinary Bladder Neck Obstruction / Q000175:diagnosis*; D055815:Young Adult
keywords: Lower urinary tract symptoms; Pelvic imbalances; Postural control; Primary bladder neck obstruction; Urology; Voiding dysfunction