Underactive Bladder-1판

1 Pathophysiology and Associations of Underactive Bladder 1

2 Non-invasive Diagnostics for Detrusor Underactivity/Underactive Bladder 13

3 Invasive Diagnostic Tests 17

4 Epidemiology of Underactive Bladder25

5 Indications for Treatment 31

6 Pharmacological Treatment of Underactive Bladder39

7 Surgical Treatment: Outlet Reduction, Men and Women49

8 Neurostimulation and Neuromodulation for the Treatment for the Underactive Bladder57

9 Reduction Cystoplasty 63

10 Therapeutic Approaches, to Restore or Augment Detrusor Contractility “Bladder Wrap Procedures”69

11 Tissue Engineering and Cell Therapy for Underactive Bladder: Current and Future Approaches75

12 Reflections and the Way Forward 83

Index 87


The field of underactive bladder is a poorly recognised yet important clinical condition, affecting up to a
third of patients over 65. In this book, the authors look at the field of underactive bladder and its
presentation, clinical diagnosis, potential etiopathogenesis and treatment.

While the editors address a great deal of background information, they clearly identify that many
limitations still exist to clinical diagnosis and urodynamic evaluation, and in particular a dearth of
appropriate treatment options. This complex condition needs to be recognized and identified in the routine
evaluation and clinical management of patients.