Bladder Dysfunction Differential Diagnoses

  • Author: Ramon S Lansang Jr, MD; Chief Editor: Consuelo T Lorenzo, MD   more...
 
Updated: Apr 30, 2012
 
 

Diagnostic Considerations

In addition to the conditions listed in the differential diagnosis, other problems to be considered include the following:

  • Urinary outflow obstruction
  • Prostatism
  • Urinary tract infection

Failure to identify urinary tract infections could lead to urosepsis. Failure to identify reflux could lead to renal failure. Failure to identify abnormal bladder mechanics (eg, dyssynergia) could lead to inappropriate management. Failure to perform cystoscopy for patients who have had long-term indwelling catheters may lead to missing a diagnosis of bladder cancer.

Consult a urologist for diagnostic and therapeutic management of new and complicated cases.

Differential Diagnoses

Proceed to Workup
 
 
Contributor Information and Disclosures
Author

Ramon S Lansang Jr, MD  Consulting Staff, Department of Orthopedics, Charleston Area Medical Center

Ramon S Lansang Jr, MD is a member of the following medical societies: American Academy of Pediatrics, American Academy of Physical Medicine and Rehabilitation, and American Medical Association

Disclosure: Nothing to disclose.

Chief Editor

Consuelo T Lorenzo, MD  Physiatrist, Department of Physical Medicine and Rehabilitation, Alegent Health Immanuel Rehabilitation Center

Consuelo T Lorenzo, MD is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation

Disclosure: Nothing to disclose.

Additional Contributors

Andrew C Krouskop, MD Assistant Professor and Chair, Department of Orthopedics, Division of Physical Medicine and Rehabilitation, University of Tennessee College of Medicine at Chattanooga

Disclosure: Nothing to disclose.

Teresa L Massagli, MD Professor of Rehabilitation Medicine and Pediatrics, University of Washington School of Medicine

Teresa L Massagli, MD is a member of the following medical societies: American Academy of Pediatrics, American Academy of Physical Medicine and Rehabilitation, and Association of Academic Physiatrists

Disclosure: Nothing to disclose.

Richard Salcido, MD Chairman, Erdman Professor of Rehabilitation, Department of Physical Medicine and Rehabilitation, University of Pennsylvania School of Medicine

Richard Salcido, MD is a member of the following medical societies: American Academy of Pain Medicine, American Academy of Physical Medicine and Rehabilitation, American College of Physician Executives, American Medical Association, and American Paraplegia Society

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Reference Salary Employment

References
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  2. Braddom RL. Physical Medicine and Rehabilitation. Philadelphia:. WB Saunders Co;1996:555-79.

  3. Lisenmeyer TA, Stone JM. Neurogenic bladder and bowel dysfunction. In: De Lisa J, ed. Rehabilitation Medicine. Philadelphia:. Lippincott-Raven Publishing;1998:1073-106.

  4. Bradley WE. Physiology of the urinary bladder: Campbell's Urology. Philadelphia:. WB Saunders Co;1986.

  5. Thomas TM, Plymat KR, Blannin J, Meade TW. Prevalence of urinary incontinence. Br Med J. Nov 8 1980;281(6250):1243-5. [Medline].

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  11. Kaufman JM, Fam B, Jacobs SC, et al. Bladder cancer and squamous metaplasia in spinal cord injury patients. J Urol. Dec 1977;118(6):967-71. [Medline].

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  13. Giannantoni A, Di Stasi SM, Stephen RL, et al. Intravesical capsaicin versus resiniferatoxin in patients with detrusor hyperreflexia: a prospective randomized study. J Urol. Apr 2002;167(4):1710-4. [Medline].

  14. de Sèze M, Wiart L, Joseph PA, et al. Capsaicin and neurogenic detrusor hyperreflexia: a double-blind placebo-controlled study in 20 patients with spinal cord lesions. Neurourol Urodyn. 1998;17(5):513-23. [Medline].

  15. de Sèze M, Wiart L, de Sèze MP, et al. Intravesical capsaicin versus resiniferatoxin for the treatment of detrusor hyperreflexia in spinal cord injured patients: a double-blind, randomized, controlled study. J Urol. Jan 2004;171(1):251-5.

  16. Kuhlemeier KV, Lloyd LK, Stover SL. Long-term followup of renal function after spinal cord injury. J Urol. Sep 1985;134(3):510-3. [Medline].

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Pons is major relay center between brain and bladder. Mechanical process of urination is coordinated by pons in area known as pontine micturition center (PMC).
Large stellate urinary bladder stone. Image courtesy of Wikimedia Commons.
 
 
 
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