Voiding Dysfunction

Voiding dysfunction is a broad term used to describe poor coordination between the bladder muscle and the urethra. This results in incomplete relaxation or overactivity of the pelvic floor muscles during voiding.

Symptoms of Voiding Dysfunction

  • Difficulty in bladder emptying
  • Urinary hesitancy
  • Slow or weak urine stream
  • Urinary urgency
  • Urinary frequency
  • Dribbling of urine

Causes of Voiding Dysfunction

Voiding dysfunction can be a result of nerve dysfunction or non-relaxing pelvic floor muscles.

Diagnosing Voiding Dysfunction

Your provider may perform tests, such as uroflowmetry and post-void residual and urodynamics.

Treatment Options

Depending on the cause of your voiding dysfunction, your provider will create an individualized treatment plan. Some possible treatments may include:

Behavioral Modification: The adjustment of fluid intake and voiding schedule to control overactive bladder symptoms may reduce episodes of urgency and urge incontinence.

Pelvic Floor Muscle Rehabilitation: Strengthening the pelvic floor muscles can enable better control of urgency and OAB symptoms. Your provider will develop a program of pelvic floor muscle training specific to you and your symptoms.

Medications: Medications are commonly used to treat voiding dysfunction. Specific medications may be recommended to improve emptying and/or reduce bladder overactivity.

PTNS: Percutaneous Tibial Nerve Stimulation (PTNS) is a non-invasive treatment for overactive bladder (OAB) and urge incontinence. By indirectly providing electrical stimulation to the nerves responsible for bladder and pelvic floor function, the treatment can change and improve bladder activity.

Surgical Options

Medtronic Bladder Control Therapy (InterStim)
InterStim is an implantable bladder pacemaker. The device uses mild electrical stimulation of the sacral nerves to regulate the behavior of the bladder and pelvic floor muscles.

If voiding dysfunction disrupts your quality of life, our team at Urology Care, P.C. is here to provide you with high-quality personalized care to ensure your long-term success. Our expert providers will examine you and create a personalized comprehensive treatment plan.

To determine what treatment is best for you, contact us at 520-298-7200 to schedule your appointment.