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Urinary Bladder Disorder

Diseases of the Bladder


Presentation

  • Skip to content learn bedside ultrasound, one week at a time This is a 41-year-old white male who presents after a major motor vehicle collision. He complains of abdominal pain and feels like he needs to urinate but is unable to do so.[ultrasoundoftheweek.com]
  • "We wanted to alert A&E doctors that bladder rupture might be something to consider in younger women presenting with lower abdominal pain," says Dooldeniya.[theguardian.com]
  • Sundaram, urology consultant, C S Biyani, urology consultant Pinderfields Hospitals, Wakefield, West Yorkshire WF1 4EE Correspondence to: M D Dooldeniya modool{at}btinternet.com Accepted 25 April 2007 Consider alcohol related pathology in women who present[doi.org]
  • Covering the full spectrum of normal and pathologic findings in the human body, the authors -- all experts in the field -- present a color-coded system of more than 250 drop-down menus, which lay out all possible diagnoses at a glance and then guide the[books.google.com]
  • If nephritis is present and a heart disease is present and both are caused by the same general condition, then only one rating can be given even though there are two organs affected by the condition.[militarydisabilitymadeeasy.com]
Fever
  • Signs and symptoms include increased frequency of urination, pain or burning during urination, fever, cloudy or bloody urine, and suprapubic pain. An acute or chronic inflammatory process affecting the bladder.[icd9data.com]
  • When to see a doctor Seek immediate medical help if you have signs and symptoms common to a kidney infection, including: Back or side pain Fever and chills Nausea and vomiting If you develop urgent, frequent or painful urination that lasts for several[mayoclinic.com]
  • There may be nausea, vomiting, general lower abdominal pain, fever, a failure to urinate, or urinating only tiny amounts and there may be blood in the urine.[theguardian.com]
  • Signs and symptoms of both may include abdominal pain, diarrhea, rectal bleeding, weight loss, fever, arthritis, and skin problems.[beyondbasicsphysicaltherapy.com]
  • These include urinary tract infections, which show symptoms such as painful urination, increased frequency, fever, pelvic pain, vomiting, and occasionally back pain when spread to the kidneys occur.[thefemedic.com]
Fatigue
  • Some common complications resulting from overactive bladder may include: Disruptive quality of life Diminished sexual activity Reduced social interaction Depression Dehydration Fatigue (from Nocturia) Lower productivity Urinary tract infections (UTI),[depend.com.au]
  • Interrupted sleep can lead to extreme fatigue and sometimes depression . 4 Depression. Living with a chronic pain condition raises your risk of depression. 5 Pain during sex. Many women with bladder pain syndrome report pain during sex.[womenshealth.gov]
  • Several other disorders are associated with IC, including allergies, migraine, irritable bowel syndrome, fibromyalgia (a condition causing muscle pain), chronic fatigue syndrome, and vulvodynia (pain or burning in the vulvar area that isn't caused by[health.harvard.edu]
  • Again, this treatment is not without possible and often serious side effects including urinary tract infection, urinary retention (not being able to empty the bladder completely), hematuria (blood in the urine), fatigue and insomnia. ( 15 ) 8 Natural[draxe.com]
Recurrent Urinary Tract Infection
  • Risk factors Some people are more likely than others to develop bladder infections or recurrent urinary tract infections. Women are one such group. A key reason is physical anatomy.[mayoclinic.com]
  • Twenty percent of women in the United States develop a UTI and 20% of those have a recurrence. Urinary tract infections in children are more common in those under the age of 2.[auncurology.com]
  • Risk Factors Associated with Recurrent Urinary Tract Infection in Neurogenic Bladders Managed by Clean Intermittent Catheterization. Urology. 2017 Jan 5. [Medline]. Giannantoni A, Di Stasi SM, Stephen RL, et al.[emedicine.medscape.com]
Enuresis
  • Bladder dysfunction is increasingly recognized as a risk factor for UTI and VUR, and a cause for enuresis with daytime symptoms.[books.google.com]
  • .- ) N39.3 Stress incontinence N39.4 Other specified urinary incontinence Overflow Reflex Urge } } } incontinence Excludes: enuresis NOS ( R32 ) urinary incontinence (of): · NOS ( R32 ) · nonorganic origin ( F98.0 ) N39.8 Other specified disorders of[apps.who.int]
  • […] to urinate) Dribbling: Continuing to drip or dribble urine after finishing urination Straining: Having to squeeze or bear down on the external sphincter to urinate Some people with incontinence experience the following problems: Bedwetting (nocturnal enuresis[emedicinehealth.com]
Gangrene
  • […] adhesions Caused by balanitis, poor hygiene erythema, itching, discharge with painful excretion/intercourse Tx: Betamethasone cream is 1st line, circumcision 2nd retracted foreskin becomes trapped proximal to glans Emergency - leads to ischemia of glans & gangrene[brainscape.com]
  • […] and anger 2016 2017 2018 2019 Billable/Specific Code bladder N32.89 Irritation bladder N32.89 Leukoplakia bladder N32.89 (postinfectional) Malacoplakia bladder N32.89 Metaplasia squamous cell, bladder N32.89 Necrosis, necrotic (ischemic) - see also Gangrene[icd10data.com]
Cough
  • […] after leakage More common in men and older women Tx: anticholinergics - increase capacity; oxybutynin for detrusor antispasmodic; miragebron for bladder relaxation Leakage with increased intraabdominal pressure w/o bladder contractions Seconds after cough[brainscape.com]
  • Sneezing, coughing, laughing or lifting heavy objects cause these muscles to relax temporarily. If the muscles are weakened, a small amount of urine can escape.[bigcdiscountdrugs.com]
  • Smoking: A chronic smoker's cough can trigger or aggravate stress incontinence by putting pressure on the urinary sphincter.[everydayhealth.com]
  • ., spastic bladder) Stress incontinence : involuntary loss of urine that occurs during physical activity, such as coughing, sneezing, laughing, or exercise. Usually due to weak pelvic floor muscles.[hopkinsguides.com]
  • The herniation of rectal tissue may occur with chronic constipation, chronic coughing, heavy lifting, and/or obesity. Symptoms may include constipation and/or pelvic pain.[beyondbasicsphysicaltherapy.com]
Abdominal Pain
  • To learn more about how we use cookies, please see our cookies policy Close Intended for healthcare professionals Education Lower abdominal pain...[doi.org]
  • All complained of lower abdominal pain. The doctors initially diagnosed a urinary infection in two of these cases, and prescribed antibiotics and rehydration.[theguardian.com]
  • He complains of abdominal pain and feels like he needs to urinate but is unable to do so. What is the diagnosis? Post navigation[ultrasoundoftheweek.com]
  • Signs and symptoms of both may include abdominal pain, diarrhea, rectal bleeding, weight loss, fever, arthritis, and skin problems.[beyondbasicsphysicaltherapy.com]
  • Symptoms for Bladder Disorders General symptoms for bladder disorders include abdominal pain, feeling of a full bladder continuously, difficulty urinating, frequently urinating, pain when urinating, slow urine flow, feeling a full bladder continuously[disabilitycreditconsultants.ca]
Suprapubic Pain
  • Signs and symptoms include increased frequency of urination, pain or burning during urination, fever, cloudy or bloody urine, and suprapubic pain. An acute or chronic inflammatory process affecting the bladder.[icd9data.com]
  • B 25 Oral cimetidine (Tagamet) can improve suprapubic pain and nocturia in patients with interstitial cystitis/painful bladder syndrome.[aafp.org]
Piloerection
  • Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity[msdmanuals.com]
Headache
  • Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity[msdmanuals.com]
  • Side-effects can include a fast heartbeat, headache, diarrhoea and a tendency to urine infections. You can read more about medicines used for OAB in the separate leaflet called Medicines for Urinary Urgency and Incontinence.[patient.info]
  • Persons who consume a large amount of caffeine should slowly decrease the amount of caffeine consumed to avoid significant withdrawal responses such as headache and depression.[emedicine.medscape.com]
Hyperactivity
  • Patients with high thoracic or cervical spinal cord lesions are at risk of autonomic dysreflexia (a life-threatening syndrome of malignant hypertension, bradycardia or tachycardia, headache, piloerection, and sweating due to unregulated sympathetic hyperactivity[msdmanuals.com]
  • When nitric oxide synthesis is inhibited, the result is bladder hyperactivity and reduced bladder volume.[lifeextension.com]
  • Factors that influence the urodynamic results of botulinum toxin in the treatment of neurogenic hyperactivity. Actas Urol Esp. 2015 Jan 9. [Medline]. Komesu YM, Amundsen CL, Richter HE, et al.[emedicine.medscape.com]
Spastic Paralysis
  • Patients with spastic bladder may have frequency, nocturia, and spastic paralysis with sensory deficits; most have intermittent bladder contractions causing urine leakage and, unless they lack sensation, urgency.[msdmanuals.com]
Quadriplegia
  • It is usually indicated if patients have had or are at risk of severe acute or chronic sequelae or if social circumstances, spasticity, or quadriplegia prevents use of continuous or intermittent bladder drainage.[msdmanuals.com]
Overflow Incontinence
  • Symptoms can include overflow incontinence, frequency, urgency, urge incontinence, and retention. Risk of serious complications (eg, recurrent infection, vesicoureteral reflux, autonomic dysreflexia) is high.[msdmanuals.com]
  • Other Types of Incontinence Overflow incontinence: This occurs when a person is unable to empty their bladder completely and it overflows as new urine is produced. Overflow incontinence sometimes occurs in men who have an enlarged prostate.[everydayhealth.com]
  • The distended bladder may leak, a condition called overflow incontinence.[sharecare.com]
  • Overflow incontinence is often caused by an obstruction or blockage to your bladder, which prevents it emptying fully. Total incontinence may be caused by a problem with the bladder from birth, a spinal injury, or a bladder fistula.[nhs.uk]
  • Leakage can occur if the bladder cannot empty (overflow incontinence), if the sphincter controlling urination doesn’t work (stress incontinence), or if bladder spasms cause the bladder to shrink before the person reaches the toilet (urge incontinence)[my.clevelandclinic.org]
Hematuria
  • Prostate surgery most common cause Tx: Surgical repair Incomplete bladder emptying - continuous leakage Detrusor underactivity or bladder outlet obstruction (BPH) Tx: self-catheterizing Immediate referral for Bladder Disorders Incontinence w/ pain UTI-free hematuria[brainscape.com]
  • With cystitis, you may have blood cells in your urine that can be seen only with a microscope (microscopic hematuria) and that usually resolves with treatment.[mayoclinic.com]
  • Hematuria Hematuria simply means blood in the urine. Microscopic hematuria means that the blood is only seen when the urine is examined under a microscope.[auncurology.com]
  • Symptoms of interstitial cystitis include: The persistent, frequency and urgency to urinate Pelvic pain Pain or discomfort while the bladder fills Pain during intercourse Chronic microscopic blood in the urine, hematuria Chronic symptoms of urinary tract[fwcenterforpelvicmedicine.com]
  • The most common symptoms caused by the various types of bladder conditions are: dysuria polyuria nocturia hematuria incontinence frequent urination urine color change Nerves are a key component for healthy bladder function, they carry messages to the[healthblurbs.com]
Urinary Urgency
  • Signs and symptoms may include urinary urgency, frequency, or retention; dyspareunia; pain in the back, suprapubic area, and/or abdomen; nocturia (nighttime urinary frequency); and pain before, during, or after urination.[greenmountainpt.com]
  • Most OAB cases are marked by three main symptoms: urinary urgency, urinary frequency, and urge urinary incontinence (UUI). Urinary urgency describes a sudden and uncontrollable desire to urinate even when the bladder isn't full.[medicalnewstoday.com]
  • Symptoms The most common IC symptoms are: Recurrent bladder pain, pressure and/or discomfort Chronic pelvic pain Urinary urgency Increased frequency of urination Need to urinate through the night (nocturia) The intensity of IC pain and discomfort may[verywell.com]
  • Variable symptoms The onset of IC is usually gradual, with bladder pain and urinary urgency and frequency developing over a period of months.[health.harvard.edu]
  • Urinary urgency and frequency are also typical. Interstitial cystitis mainly affects women.[aafp.org]
Dysuria
  • Cystitis is usually associated with painful urination (dysuria), increased frequency, urgency, and suprapubic pain. 595 Cystitis 595.0 Acute cystitis convert 595.0 to ICD-10-CM 595.1 Chronic interstitial cystitis convert 595.1 to ICD-10-CM 595.2 Other[icd9data.com]
  • Dysuria Painful urination (dysuria) is discomfort or burning with urination, usually felt in the tube that carries urine out of your bladder (urethra) or the area surrounding your genitals (perineum). Nocturia Frequent urination at nighttime.[greenmountainpt.com]
  • PBS/IC describes a syndrome of pain and genitourinary symptoms (eg, frequency, urgency, pain, dysuria, nocturia) for which no etiology can be found.[emedicine.medscape.com]
  • The most common symptoms caused by the various types of bladder conditions are: dysuria polyuria nocturia hematuria incontinence frequent urination urine color change Nerves are a key component for healthy bladder function, they carry messages to the[healthblurbs.com]
  • Doctors consider it a worrisome symptom if a person urinates much more often, must awaken to urinate or has pain when urinating (called dysuria).[denverurology.com]
Urge Urinary Incontinence
  • Most OAB cases are marked by three main symptoms: urinary urgency, urinary frequency, and urge urinary incontinence (UUI). Urinary urgency describes a sudden and uncontrollable desire to urinate even when the bladder isn't full.[medicalnewstoday.com]
  • Myrbetriq ( mirabegron ) is a beta-3 adrenergic agonist indicated for the treatment of overactive bladder ( OAB ) with symptoms of urge urinary incontinence, urgency, and urinary frequency .[emedicinehealth.com]

Workup

  • Absorbent products are helpful during the initial assessment and workup of urinary incontinence. As an adjunct to behavioral and pharmacologic therapies, they play an important role in the care of persons with intractable incontinence.[emedicine.medscape.com]
Bowel Distention
  • This disorder may be triggered by acute bladder distention (due to urinary retention ) or bowel distention (due to constipation or fecal impaction).[msdmanuals.com]
Bladder Trabeculation
  • Cystoscopy is used to evaluate duration and severity of retention (by detecting the degree of bladder trabeculations) and to check for bladder outlet obstruction.[msdmanuals.com]
  • trabeculation Contracted bladder Cystocele, male Cystourethrocele, male Hypertrophy of bladder Hypervascular bladder lesion Hypervascular lesion of urinary bladder Male cystocele Male cystourethrocele Nontraumatic rupture of bladder Spasm of bladder[icd10data.com]

Treatment

  • For spastic bladder, treatment depends on the patient’s ability to retain urine.[msdmanuals.com]
  • Key points Comprehensive guide to recent advances in diagnosis and treatment of paediatric renal disorders Fully revised, new edition with expanded chapters and new topics Covers numerous renal disorders, diagnostic tools and processes, and treatment[books.google.com]
  • Based on the current literature, the author has enumerated various treatment options available for the different grades of VUR.[books.google.com]
  • What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about.[books.google.com]
  • Your healthcare provider will work with you to create a treatment plan.[hopkinsmedicine.org]

Prognosis

  • Catheterization Increased fluid intake Drugs Surgery if conservative measures fail Prognosis is good if the disorder is diagnosed and treated before kidneys are damaged. Specific treatment involves catheterization or measures to trigger urination.[msdmanuals.com]
  • What is my baby's long-term prognosis? Long-term prognosis for the baby who is diagnosed with bladder outlet obstruction before birth and who has adequate lung development, is improving every day.[chw.org]
  • The prognosis for recovery depends on the type, severity, and location of the lesion causing the bladder problem and can be organized by dysfunctions that are permanent, dysfunctions that resolve with treatment of the condition, and dysfunctions that[emedicine.medscape.com]
  • What is the prognosis for bladder cancer? The most important factors that affect the prognosis (or the chances of control and cure) of bladder cancer are the stage and grade of the tumor. The lower the stage and grade, the better the outlook.[medicinenet.com]
  • However, the actual prevalence of KC is unknown. [18] Prognosis Infectious etiologies Infectious causes of nonbacterial cystitis, such as HSV-1 or HSV-2, can be treated; however, the treatment does not eliminate the dormant virus integrated into the host[emedicine.medscape.com]

Etiology

  • Etiology Infectious etiologies Viruses normally do not cause cystitis in immunocompetent adults.[emedicine.medscape.com]
  • Depending on the etiology, various techniques can be employed to maintain renal function and prevent urinary tract infections. Self catheterization, medication or surgical interventions including cystoplasty or sphincterotomy can be employed.[radiopaedia.org]
  • Etiology varies and may include dysfunction of the kidneys, bladder nerve signals and muscle activity.[healthcmi.com]
  • The etiology and the level of CNS or peripheral nervous system injury correlate with different causes and classifications of bladder dysfunction. For instance, bladder disorders are reported in 40-90% of patients with MS.[emedicine.medscape.com]
  • Although there are several causes of trigonitis, bladder infections are the most common etiology. Interstitial Cystitis Interstitial cystitis is a condition characterized by chronic bladder pain.[biologydictionary.net]

Epidemiology

  • Obesity and Genetics Obesity in Adults Obesity in Pregnancy Obesity and Infertility Obesity and Sexual Health Obesity and Stress Obesity and Fractures Obesity and Arthritis Obesity and Metabolic Syndrome Obesity and Deep Vein Thrombosis (DVT) Obesity Epidemiology[news-medical.net]
  • The epidemiology of bacteriuria and candiduria in critically ill patients. Epidemiol Infect. 2015 Feb. 143 (3):653-62. [Medline]. Barsoum RS. Schistosomiasis and the kidney. Semin Nephrol. 2003 Jan. 23(1):34-41. [Medline].[emedicine.medscape.com]
  • Epidemiology The incidence of neurogenic bladder dysfunction depends on the primary cause. The etiology and the level of CNS or peripheral nervous system injury correlate with different causes and classifications of bladder dysfunction.[emedicine.medscape.com]
  • Interstitial cystitis: epidemiology, pathophysiology, and clinical presentation. Obstetrics and Gynecology Clinics of North America ; 41(3): 395-95. Nutt, D., Wilson, S., Paterson, L. (2008). Sleep disorders as core symptoms of depression .[womenshealth.gov]
Sex distribution
Age distribution

Pathophysiology

  • Although the pathophysiology has not been fully elucidated, the previous decade has seen advances in our understanding of the pathophysiologic processes, which has led in turn to the development of new approaches to diagnosis and treatment.[aafp.org]
  • Pathophysiology The pathophysiology of the disorder depends on its etiology.[emedicine.medscape.com]
  • Incontinence and urinary retention can cause social embarrassment and added morbidity, such as infections, stones, or renal injury. [1, 2, 3, 4, 5, 6] Pathophysiology Control of bladder function involves the somatic efferent as well as autonomic sympathetic[emedicine.medscape.com]
  • Interstitial cystitis: epidemiology, pathophysiology, and clinical presentation. Obstetrics and Gynecology Clinics of North America ; 41(3): 395-95. Nutt, D., Wilson, S., Paterson, L. (2008). Sleep disorders as core symptoms of depression .[womenshealth.gov]

Prevention

  • In patients with detrusor-sphincter dyssynergia, sphincter spasm during voiding may prevent complete bladder emptying. Common complications include recurrent UTIs and urinary calculi.[msdmanuals.com]
  • These conditions need prompt diagnosis and management, not only to relieve the acute morbidity, but also to prevent the long-term renal damage. This makes diagnostic and therapeutic issues concerning these conditions very important.[books.google.com]
  • This prevents bacteria in the anal region from spreading to the vagina and urethra. Take showers rather than tub baths. If you're susceptible to infections, showering rather than bathing may help prevent them.[mayoclinic.com]
  • Home 2015 ICD-9-CM Diagnosis Codes Diseases Of The Genitourinary System 580-629 Other Diseases Of Urinary System 590-599 Other disorders of bladder 596- Blockage of the opening between the bladder and the urethra resulting in the reduction or prevention[icd9data.com]
  • Don’t allow embarrassment to prevent you from seeking professional help.[healthcommunities.com]

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