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Psychogenic urinary dysfunction: A uro-neurological assessment by Ryuji Sakakibara; Tomoyuki Uchiyama; Yusuke Awa; Zhi Liu; Tatauya Yamamoto; Takashi Ito; Kaori Yamamoto; Mika Kinou; Chiharu Yamaguchi; Tomoyuki Yamanishi; Takamichi Hattori is a Medicine article available to read on EtoBox.

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## Abstract ## Aims The diagnosis of psychogenic urinary dysfunction (PUD) is one of exclusion, particularly from urologic and neurologic causes, and is usually accompanied by more obvious psychologic/ psychiatric features. We here describe patients with PUD who were diagnosed in our uro‐ neurological laboratory. ## Materials and Methods We reviewed the digitized records of 2,300 urodynamic cases treated in the past 6 years to identify patients who fulfilled the diagnostic criteria of PUD. All 2,300 patients had completed a urinary questionnaire and undergone both electromyography (EMG)‐cystometry and a detailed neurological examination. In addition, pressure‐flow analysis, neurophysiology tests including sphincter EMG analysis, and MRI of the brain and spinal cord were performed as applicable. ## Results PUD was seen in 16 cases (0.7%): 6 men, 10 women, mean age 37 years. Lower urinary tract symptoms (LUTS) included overactive bladder (OAB) alone in 5, difficult urination alone in one, and both in 10. LUTS commonly occurred in particular situations, for example, OAB only while riding the train. Some patients showed extremely infrequent toileting. The urodynamic findings were norma

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Author

Ryuji Sakakibara; Tomoyuki Uchiyama; Yusuke Awa; Zhi Liu; Tatauya Yamamoto; Takashi Ito; Kaori Yamamoto; Mika Kinou; Chiharu Yamaguchi; Tomoyuki Yamanishi; Takamichi Hattori

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0733-2467)

Published

2007

Language

EN

Field

Medicine (Health Sciences)