Dysfunction of the lower urinary tract

Lower urinary tract dysfunctions include pelvic organ descensus, stress incontinence, and overactive bladder without or with urge incontinence.

Descent of the pelvic organs
Clinical manifestations include :


 * bulging - bulging of the uterus or vaginal stump from the vagina, especially with increased intra-abdominal pressure (coughing), often scares patients ("I have a tumor ") and brings them to the doctor, easily detectable through anamnestic,
 * retention of urine, possible urination only when the descended organs are manually pushed back - also easily detectable through anamnestic examination,
 * more frequent urinary infections,
 * constipation,
 * pressure sores on the vaginal mucosa - detectable by history as bloody discharge or spotting (post-menopausal!),
 * pelvic pain – usually not the result of descent, but has the same cause (injury of the pelvic floor), cannot be resolved by surgery, which should be pointed out to the patient when surgery is indicated.



Stress incontinence
See stress incontinence.

Overactive bladder
See overactive bladder, urgent urinary incontinence.

Related Articles

 * Descent of testis
 * Stress urinary incontinence
 * Overactive bladder
 * Urgent urinary incontinence

Reference

 * 1) MAŠATA, Jaromír. Clinical internship  [lecture on the subject Gynecology and obstetrics pre-state internship, field of general medicine, 1st medical Charles University in Prague]. Prague. 13/02/2013.

Recommended reading

 * MARTAN, Alois, et al. Urinary incontinence in women and its medical treatment: a guide for the attending physician. 2nd edition. Prague: Maxdorf, 2006. 83 pp.  ISBN 80-7345-094-1.