Dysfunctional Bladder
Description Diagnostic criteria General and supportive measures Referral ICD-10 code: N31 DESCRIPTION Abnormalities of filling or emptying of the bladder, i.e. underactive or overactive bladder. Aetiology may be neurogenic, anatomical or functional. DIAGNOSTIC CRITERIA Clinical features include: Daytime frequency Incontinence Urgency Nocturia Hesitancy Straining Weak stream Dysuria Holding
General and supportive measures
ICD-10 code: N31
DESCRIPTION
Abnormalities of filling or emptying of the bladder, i.e. underactive or overactive bladder. Aetiology may be neurogenic, anatomical or functional.
DIAGNOSTIC CRITERIA
Clinical features include:
- Daytime frequency
- Incontinence
- Urgency
- Nocturia
- Hesitancy
- Straining
- Weak stream
- Dysuria
- Holding manoeuvres
- Post-micturition dribbling
Conditions include:
- Overactive bladder (OAB)
- Voiding postponement
- Underactive bladder
- Dysfunctional voiding
- Obstruction
- Stress incontinence
- Vaginal reflux
- Giggle incontinence
Common in co-morbid neurological and behavioural problems.
GENERAL AND SUPPORTIVE MEASURES
- Screen for UTI. See: Urinary tract infections.
- May have concomitant constipation – bowel management is essential in management. See: Alimentary Tract, Constipation/Faecal loading.
- Intermittent catheterisation is necessary with large post-void residual volumes. Check post-void volume by catheterisation after voiding.
- Symptomatic school-going children may develop anxiety. See: Child and Adolescent Psychiatry, Anxiety disorders.
REFERRAL
All for assessment.
Click here for the Erratum-3 notice.
Standard Treatment Guidelines and Essential Medicines List for South Africa Paediatric Hospital _Chapter 6: Nephrological/Urological Disorders; 2023, 5th edition