WordNet
- a bag that fills with air
- a distensible membranous sac (usually containing liquid or gas) (同)vesica
PrepTutorEJDIC
- (人間・動物の)襄(のう),ぼうこう,(魚の)浮き袋;気胞 嚢に似た物
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/06/28 06:45:11」(JST)
[Wiki en表示]
Underactive Bladder Syndrome (UAB) is a urological condition characterized by bladder underactivity causing difficulty in voiding, resulting in incomplete bladder emptying.[1] UAB is often referred to by the general scientific community as detrusor underactivity.[2] Patients with UAB have a diminished sense of when the bladder is full and are not able to contract the muscles sufficiently, resulting in incomplete bladder emptying.[3]
The International Continence Society (ICS) refers to the condition of detrusor underactivity, defined as a contraction of reduced strength and/or duration, resulting in prolonged bladder emptying and/or failure to achieve complete bladder emptying within a usual time span. UAB may cause overdistention of the bladder, resulting in overflow incontinence. The disease can have a profound impact on quality of life.
Contents
- 1 Causes
- 2 Treatment
- 3 See also
- 4 References
Causes
The etiology of UAB is unclear, however there are multiple possible causes of the syndrome. UAB symptoms are sometimes a result of neurological damage, surgery, medication side effects, and infection. In addition to these sources, the simple act of aging can result in the decline of bladder volume and elasticity.
Treatment
While treatment for UAB is often dependent on factors such as age, health, symptoms, and cause of the condition, it frequently includes lifestyle modification (fluid restriction, bladder retraining). Bethanechol is a prescription medication used for treatment, bethanechol can stimulate the nerves of the bladder, making them more responsive to stimulus. With UAB, it is common for patients to utilize a urinary catheter to void. Surgical options are also options, with a cuff or stent placed around or in the neck of the bladder to aid the emptying and leakage of urine. However, current therapies are considered inadequate and there is a strong need for new research and attention.[4]
See also
- Urinary retention
- Overactive bladder
- Urinary incontinence
- International Continence Society
References
- ^ Rigby D Underactive Bladder Syndrome. Nursing Standard. 2005 May 11–17;19(35):57-64; quiz 66-7.
- ^ Miyazato M, Yoshiumura N, Chancellor M. The Other Bladder Syndrom: Underactive Bladder. Reviews In Urology. 2013; 15(1):11-22.
- ^ "What is Underactive Bladder Syndrome?". www.underactivebladder.org. Underactive Bladder Foundation. 28 Dec 2013. Retrieved 28 December 2013.
- ^ van Koeveringe GA, Vahabi B, Andersson KE, Kirschner-Herrmans R, Oelke M. Detrusor underactivity: A plea for new approaches to a common bladder dysfunction. Neurourology Urodynamics. 2011 Jun;30(5):723-8. doi:10.1002/nau.21097.
UpToDate Contents
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English Journal
- The vexing problem of underactive bladder in children: a viable alternative.
- Bauer SB1.
- BJU international.BJU Int.2016 May;117(5):712-3. doi: 10.1111/bju.13231.
- PMID 27079477
- Transcutaneous interferential electrical stimulation for the management of non-neuropathic underactive bladder in children: a randomised clinical trial.
- Kajbafzadeh AM1, Sharifi-Rad L2, Ladi-Seyedian SS1, Mozafarpour S1.
- BJU international.BJU Int.2016 May;117(5):793-800. doi: 10.1111/bju.13207. Epub 2015 Jul 18.
- OBJECTIVES: To assess the efficacy of transcutaneous interferential electrical stimulation (IFES) and urotherapy in the management of non-neuropathic underactive bladder (UAB) in children with voiding dysfunction.PATIENTS AND METHODS: In all, 36 children with UAB without neuropathic disease [15 boys
- PMID 26086897
- Female Bladder Outlet Obstruction.
- Hoffman DS1, Nitti VW2.
- Current urology reports.Curr Urol Rep.2016 Apr;17(4):31. doi: 10.1007/s11934-016-0586-2.
- The non-specific symptoms the patients express upon the presentation of female bladder outlet obstruction make it a challenge to diagnose. There are subtle differences between the obstructed patient and those whose bladders are underactive and/or fail to mount a detrusor contraction. These dispariti
- PMID 26902625
Japanese Journal
- 症例 排尿障害治療目的で処方されたdistigmine bromideによりコリン作動性クリーゼを発症した1例
- 膀胱の収縮機能に対するジスチグミンとネオスチグミンの作用の比較
- 関谷 更沙,高橋 裕美,関 悠子,寺岡 綾,相川 直己,田中 芳夫,小池 勝夫
- 応用薬理 75(3), 85-96, 2008-10-10
- NAID 10024021191
Related Links
- What is Underactive Bladder? Underactive bladder is characterized by a slow urinary stream, hesitancy and straining to void, with or without a feeling of incomplete bladder emptying sometimes with storage symptoms.
- underactive bladder. 低活動膀胱. ｛てい かつどう ぼうこう｝. 単語帳への登録は「英辞郎 on the WEB Pro」でご利用ください。. 20,000件まで登録できます。. 英和. 名詞. basis interface place stuff premise sense initiative task delivery subject. 動詞.
- According to the 2010 International Continence Society standardization reports, underactive bladder (UAB) is a decrease in detrusor contraction and/or shortening of the contraction time, resulting in an incomplete and/or prolongation of the bladder emptying within the normal time frame.
★リンクテーブル★
[★]
- 英
- neurogenic bladder
- ラ
- vesica neurogena
- 同
- 神経原性膀胱、神経障害膀胱 neuropathic bladder
- 関
- 排尿筋、neurogenic urinary bladder
概念
神経系に生じた障害により生じる蓄尿・排尿障害
分類
神経因性膀胱
- IMD SURO.164
| 橋排尿中枢より上位の障害
|
脳血管障害(脳出血、脳梗塞)、パーキンソン病、認知症、脳外傷、脳腫瘍
|
[橋排尿中枢への抑制が失わる]蓄尿による求心性知覚線維(Aδ)の興奮→(中枢より抑制を受けず)PMCによる排尿指令→仙髄副交感神経中枢による排尿指令→排尿筋収縮
|
蓄尿障害(排尿筋不随意収縮、切迫尿失禁、頻尿)
|
| 核上脊髄障害
|
脊髄損傷、多発性硬化症、損傷部位に依存して後縦靭帯骨化症、二分脊椎、HAMでも起こる
|
[異常な排尿回路の形成]蓄尿による求心性知覚線維(C)の興奮→(C線維による2つの異常な回路が形成され、求心性知覚情報はここに入力)(1)仙髄副交感神経中枢による排尿指令、(2)オヌフ核による外尿道筋収縮→排尿筋収縮＋外尿道筋収縮
|
蓄尿障害(反射性尿失禁)、排尿障害(排尿筋括約筋協調不全)
|
| 仙髄より下位の神経障害
|
下位脊髄損傷、仙髄以下馬尾神経の障害をきたす二分脊椎、脊髄稽留症候群、腰部脊柱管狭窄症、下位の損傷を起こすような後縦人口骨化症、シャイ・ドレガー症候群、脊髄小脳変性症、多発性硬化症、脊髄癆、HAM
|
|
排尿障害、残尿、尿閉
|
[★]
膀胱 urinary bladder
胆嚢 gallbladder
[★]
- 関
- sluggishness