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Bladder dysfunction

Including overactive bladder, incontinence, urinary tract obstruction & neurourological disorders

Reviewed by Christopher Kelly, M.D.

Bladder dysfunction (also known as voiding dysfunction) affects a large number of women and men and can have a serious impact on one’s daily life. The physicians of NYU Urology Associates are highly experienced in treating women and men with this condition, which encompasses overactive bladder, incontinence, obstructions of the urinary tract, and urination difficulties due to neurological conditions or spinal cord injury.

An accurate assessment of the underlying causes of bladder dysfunction is key to alleviating its symptoms. We offer state-of-the-art diagnostic tests, including on-site video urodynamic evaluation. All video urodynamic studies are performed and interpreted by a urologist rather than a technician, increasing the accuracy of the testing and making for a more valuable study.

Once a diagnosis has been established, we will work to find a treatment plan that fits your needs and personal situation. We offer a wide range of surgical and non-surgical options, including specialized treatments for patients with neurological problems or who are not ambulatory. Our goal is not only to improve patients’ bladder function, but also to offer as much independence as possible and ultimately improve their quality of life.

More information on bladder dysfunction

Definition and causes

Bladder dysfunction, also known as voiding dysfunction, is an abnormality of the filling or emptying of the bladder.

It may be caused by inappropriate muscular activity in the muscles of the bladder wall, the muscles that control the starting or stoppage of the flow of urine out of the body (sphincters), or the muscles of the pelvic floor. Neurological impairment and certain medications can also contribute to bladder dysfunction.

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Symptoms

Symptoms can include

  • Sudden, strong urges to urinate during the day or night
  • The need to urinate often
  • Incontinence
  • Difficulty during urination
  • Decreased force of urine stream
  • Incomplete bladder emptying
  • Recurrent urinary tract infections

Diagnosis

Your doctor will ask about your medical history and will also perform a physical exam. Other diagnostic tests may include

  • Standard female urological evaluation, including pelvic exam (if you are a woman)
  • Rectal exam (if you are a man)
  • Neurourological exam
  • Urine test
  • Blood test
  • Pelvic floor electromyography (electrical measurement of muscle activity)
  • Video urodynamics
  • Fluoroscopic imaging of the urinary tract
  • Ultrasound or computerized tomography of the upper urinary tract
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Treatment

Your doctor may prescribe one or more of the following:

  • Behavioral modification (including exercises, timed bladder emptying, bladder training and biofeedback)
  • Oral medication
  • Electrical stimulation and neuromodulation
  • Injection therapy (including Botox)
  • Surgical treatment (including artificial urinary sphincters and male and female slings)
  • Psychotherapy

Make an appointment with an NYU urologist who treats bladder dysfunction

Disclaimer

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.

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