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Psychological comorbidities and functional neurological disorders in women with idiopathic urinary retention: International Consultation on Incontinence Research Society (ICI-RS) 2019
- Source :
- Neurourology and Urodynamics, 39(53), S60-S69. Wiley
- Publication Year :
- 2020
-
Abstract
- Aims Chronic urinary retention occurring in young women is poorly understood and a cause may not be found in a majority of cases. Different psychological comorbidities and functional neurological symptom disorders (FNDs) have been reported; however, these have been poorly explored. Methods At the International Consultation on Incontinence Research Society meeting in 2019, a panel of clinicians generated a proposal to explore the relationship between psychological comorbidities, FNDs, and urinary retention in women with chronic idiopathic urinary retention. Results Psychological comorbidities such as depression and anxiety, and FNDs such as leg weakness and loss of consciousness, have been reported in women with idiopathic urinary retention. Individuals react differently to physical and emotional stressors, and experimental models have demonstrated a relationship between the stress response and developing urinary retention. Trauma, particularly sexual trauma, may be a shared risk factor for developing psychological comorbidities and urinary retention. Children with voiding postponement often suffer from psychological comorbidities and behavioral disturbances; however, there is no evidence to suggest that this progresses to urinary retention in adulthood. "Psychogenic urinary retention" has been described in the urology and psychiatry literature in the past, and anecdotal cases of successful voiding following psychotherapy have been reported, though the true pathophysiology of this entity is uncertain. Conclusion Psychological and functional disorder comorbidities are reported in women with chronic urinary retention. The nature of the association between urinary retention and functional neurological disorder comorbidities needs to be further explored in terms of a disorder of bladder-brain interaction.
- Subjects :
- Adult
IRRITABLE-BOWEL-SYNDROME
Urology
somatization
030232 urology & nephrology
FOWLERS-SYNDROME
Urination
Neurological disorder
Functional disorder
03 medical and health sciences
0302 clinical medicine
QUALITY-OF-LIFE
medicine
functional neurological symptom disorders
Psychogenic disease
Humans
Child
SOCIAL STRESS
Social stress
urinary retention
SACRAL NERVE-STIMULATION
030219 obstetrics & reproductive medicine
Urinary retention
business.industry
Mental Disorders
psychological disorders
medicine.disease
anxiety
OVERACTIVE BLADDER
TRACT SYMPTOMS
Overactive bladder
Fowler's syndrome
VOIDING DYSFUNCTION
POTENTIAL ROLE
BLADDER DYSFUNCTION
Anxiety
Female
Neurology (clinical)
medicine.symptom
Nervous System Diseases
business
Somatization
Stress, Psychological
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 07332467
- Database :
- OpenAIRE
- Journal :
- Neurourology and Urodynamics, 39(53), S60-S69. Wiley
- Accession number :
- edsair.doi.dedup.....7390d9f74ecf99a461fb6ffe3c622c75