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Acontractile detrusor

MedGen UID:
140790
•Concept ID:
C0403645
•
Finding
Synonyms: Atonic bladder; Atonic urinary bladder; Atony of bladder
SNOMED CT: Acontractile detrusor (197870000); Atonic bladder (197870000); Atony of bladder (197870000); Atonic urinary bladder (197870000)

Professional guidelines

PubMed

Therapeutic outcome of active management in male patients with detrusor underactivity based on clinical diagnosis and videourodynamic classification.
Lee CL, Jhang JF, Ho HC, Jiang YH, Hsu YH, Kuo HC
Sci Rep 2022 Jan 10;12(1):362. doi: 10.1038/s41598-021-04237-0. PMID: 35013465Free PMC Article
Efficacy and safety of mirabegron for the treatment of low compliance bladder resulting from sacral/infrasacral lesions: A prospective study.
Vasudeva P, Yadav S, Madersbacher H, Kumar N, Prasad V, Saurav K, Kumar R, Borah D
Int J Urol 2020 Jun;27(6):552-558. Epub 2020 Apr 18 doi: 10.1111/iju.14244. PMID: 32306426
The role of clean intermittent catheterization in the treatment for detrusor underactivity.
Méndez-Rubio S, López-Pérez E, Laso-Martín S, Vírseda-Chamorro M, Salinas-Casado J, Esteban-Fuertes M, Moreno-Sierra J
Actas Urol Esp (Engl Ed) 2020 May;44(4):233-238. Epub 2020 Mar 6 doi: 10.1016/j.acuro.2019.11.002. PMID: 32151472

Recent clinical studies

Etiology

Effect of bladder outlet procedures on urodynamic assessments in men with an acontractile or underactive detrusor: A systematic review and meta-analysis.
van Merode NAM, Nijholt IM, Heesakkers JP, van Koeveringe GA, Steffens MG, Witte LPW
Neurourol Urodyn 2023 Nov;42(8):1822-1838. Epub 2023 Jul 27 doi: 10.1002/nau.25253. PMID: 37498009
Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature.
Mohr S, Raio L, Gobrecht-Keller U, Imboden S, Mueller MD, Kuhn A
Int Urogynecol J 2022 Jun;33(6):1601-1608. Epub 2022 Feb 7 doi: 10.1007/s00192-021-05074-5. PMID: 35129645Free PMC Article
Risk of prolapse and urinary complications in adult spina bifida patients with neurogenic acontractile detrusor using clean intermittent catheterization versus Valsalva voiding.
El Akri M, Brochard C, Hascoet J, Jezequel M, Alimi Q, Khene ZE, Richard C, Bonan I, Kerdraon J, Gamé X, Manunta A, Siproudhis L, Peyronnet B
Neurourol Urodyn 2019 Jan;38(1):269-277. Epub 2018 Oct 12 doi: 10.1002/nau.23844. PMID: 30311685
Current concepts of the acontractile bladder.
Colaco M, Osman NI, Karakeçi A, Artibani W, Andersson KE, Badlani GH
BJU Int 2018 Aug;122(2):195-202. Epub 2018 May 3 doi: 10.1111/bju.14236. PMID: 29633516
Updates of underactive bladder: a review of the recent literature.
Li X, Liao L
Int Urol Nephrol 2016 Jun;48(6):919-30. Epub 2016 Mar 1 doi: 10.1007/s11255-016-1251-x. PMID: 26931421

Diagnosis

Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature.
Mohr S, Raio L, Gobrecht-Keller U, Imboden S, Mueller MD, Kuhn A
Int Urogynecol J 2022 Jun;33(6):1601-1608. Epub 2022 Feb 7 doi: 10.1007/s00192-021-05074-5. PMID: 35129645Free PMC Article
Risk of prolapse and urinary complications in adult spina bifida patients with neurogenic acontractile detrusor using clean intermittent catheterization versus Valsalva voiding.
El Akri M, Brochard C, Hascoet J, Jezequel M, Alimi Q, Khene ZE, Richard C, Bonan I, Kerdraon J, Gamé X, Manunta A, Siproudhis L, Peyronnet B
Neurourol Urodyn 2019 Jan;38(1):269-277. Epub 2018 Oct 12 doi: 10.1002/nau.23844. PMID: 30311685
Current concepts of the acontractile bladder.
Colaco M, Osman NI, Karakeçi A, Artibani W, Andersson KE, Badlani GH
BJU Int 2018 Aug;122(2):195-202. Epub 2018 May 3 doi: 10.1111/bju.14236. PMID: 29633516
Updates of underactive bladder: a review of the recent literature.
Li X, Liao L
Int Urol Nephrol 2016 Jun;48(6):919-30. Epub 2016 Mar 1 doi: 10.1007/s11255-016-1251-x. PMID: 26931421
Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology, and diagnosis.
Osman NI, Chapple CR, Abrams P, Dmochowski R, Haab F, Nitti V, Koelbl H, van Kerrebroeck P, Wein AJ
Eur Urol 2014 Feb;65(2):389-98. Epub 2013 Oct 26 doi: 10.1016/j.eururo.2013.10.015. PMID: 24184024

Therapy

Postpartum urinary retention: what are the sequelae? A long-term study and review of the literature.
Mohr S, Raio L, Gobrecht-Keller U, Imboden S, Mueller MD, Kuhn A
Int Urogynecol J 2022 Jun;33(6):1601-1608. Epub 2022 Feb 7 doi: 10.1007/s00192-021-05074-5. PMID: 35129645Free PMC Article
Risk of prolapse and urinary complications in adult spina bifida patients with neurogenic acontractile detrusor using clean intermittent catheterization versus Valsalva voiding.
El Akri M, Brochard C, Hascoet J, Jezequel M, Alimi Q, Khene ZE, Richard C, Bonan I, Kerdraon J, Gamé X, Manunta A, Siproudhis L, Peyronnet B
Neurourol Urodyn 2019 Jan;38(1):269-277. Epub 2018 Oct 12 doi: 10.1002/nau.23844. PMID: 30311685
Current concepts of the acontractile bladder.
Colaco M, Osman NI, Karakeçi A, Artibani W, Andersson KE, Badlani GH
BJU Int 2018 Aug;122(2):195-202. Epub 2018 May 3 doi: 10.1111/bju.14236. PMID: 29633516
Electromotive administration of intravesical bethanechol and the clinical impact on acontractile detrusor management: introduction of a new test.
Riedl CR, Stephen RL, Daha LK, Knoll M, Plas E, Pflüger H
J Urol 2000 Dec;164(6):2108-11. PMID: 11061937
Restoration of micturition in patients with acontractile and hypocontractile detrusor by transurethral electrical bladder stimulation.
Primus G, Kramer G, Pummer K
Neurourol Urodyn 1996;15(5):489-97. doi: 10.1002/(SICI)1520-6777(1996)15:5<489::AID-NAU6>3.0.CO;2-B. PMID: 8857617

Prognosis

The Stockholm Spinal Cord Uro Study: 3. Urodynamic characteristics in a regional prevalence group of persons with spinal cord injury and indications for improved follow-up.
Farrelly E, Lindbo L, Seiger Å
Scand J Urol 2021 Oct;55(5):412-418. Epub 2021 Jul 19 doi: 10.1080/21681805.2021.1954994. PMID: 34279177
Surgical treatment of detrusor underactivity: a short term proof of concept study.
Blaivas JG, Forde JC, Davila JL, Policastro L, Tyler M, Aizen J, Badri A, Purohit RS, Weiss JP
Int Braz J Urol 2017 May-Jun;43(3):540-548. doi: 10.1590/S1677-5538.IBJU.2016.0405. PMID: 28266820Free PMC Article
Detrusor overactivity in patients with cauda equina syndrome.
Kim SY, Kwon HC, Hyun JK
Spine (Phila Pa 1976) 2014 Jul 15;39(16):E955-61. doi: 10.1097/BRS.0000000000000410. PMID: 24831504
Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology, and diagnosis.
Osman NI, Chapple CR, Abrams P, Dmochowski R, Haab F, Nitti V, Koelbl H, van Kerrebroeck P, Wein AJ
Eur Urol 2014 Feb;65(2):389-98. Epub 2013 Oct 26 doi: 10.1016/j.eururo.2013.10.015. PMID: 24184024
Urodynamic findings in young men with chronic lower urinary tract symptoms.
Karami H, Valipour R, Lotfi B, Mokhtarpour H, Razi A
Neurourol Urodyn 2011 Nov;30(8):1580-5. Epub 2011 Jul 20 doi: 10.1002/nau.21095. PMID: 21780163

Clinical prediction guides

Effect of bladder outlet procedures on urodynamic assessments in men with an acontractile or underactive detrusor: A systematic review and meta-analysis.
van Merode NAM, Nijholt IM, Heesakkers JP, van Koeveringe GA, Steffens MG, Witte LPW
Neurourol Urodyn 2023 Nov;42(8):1822-1838. Epub 2023 Jul 27 doi: 10.1002/nau.25253. PMID: 37498009
Urological presentations of adult primary tethered cord syndrome.
Son HS, Kim JH
Neurourol Urodyn 2020 Feb;39(2):633-641. Epub 2019 Nov 29 doi: 10.1002/nau.24231. PMID: 31782978
Detrusor overactivity in patients with cauda equina syndrome.
Kim SY, Kwon HC, Hyun JK
Spine (Phila Pa 1976) 2014 Jul 15;39(16):E955-61. doi: 10.1097/BRS.0000000000000410. PMID: 24831504
Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology, and diagnosis.
Osman NI, Chapple CR, Abrams P, Dmochowski R, Haab F, Nitti V, Koelbl H, van Kerrebroeck P, Wein AJ
Eur Urol 2014 Feb;65(2):389-98. Epub 2013 Oct 26 doi: 10.1016/j.eururo.2013.10.015. PMID: 24184024
Urodynamic findings in young men with chronic lower urinary tract symptoms.
Karami H, Valipour R, Lotfi B, Mokhtarpour H, Razi A
Neurourol Urodyn 2011 Nov;30(8):1580-5. Epub 2011 Jul 20 doi: 10.1002/nau.21095. PMID: 21780163

Recent systematic reviews

Effect of bladder outlet procedures on urodynamic assessments in men with an acontractile or underactive detrusor: A systematic review and meta-analysis.
van Merode NAM, Nijholt IM, Heesakkers JP, van Koeveringe GA, Steffens MG, Witte LPW
Neurourol Urodyn 2023 Nov;42(8):1822-1838. Epub 2023 Jul 27 doi: 10.1002/nau.25253. PMID: 37498009

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