Current opinion of the treatment of female voiding dysfunction.

Jeon, Myung Jae; Bai, Sang Wook; Kim, Sei Kwang

Review

Korean Journal of Obstetrics & Gynecology 2008;51(3):275-285.
Published online March 1, 2008.

Current opinion of the treatment of female voiding dysfunction.

Myung Jae Jeon, Sang Wook Bai, Sei Kwang Kim

Department of Obstetrics and Gynecology, Yonsei University Health System, Seoul, Korea. skkim@yuhs.ac

Abstract

The incidence of female voiding dysfunction is increasing nowadays and is getting more of attention with the aging society. Various treatment methods have been applied to treat stress urinary incontinence, overactive bladder, and voiding difficulty. However, surgery for stress urinary incontinence, medication and bladder training for overactive bladder, and intermittent self-catheterization to treat voiding difficulty remain as the mainstay of management. These standard methods cannot be applied to all patients, and does not always lead to successful outcomes, suggesting that we should acquire the correct knowledge in possible ways to treat these patients. In this review, we will focus on the treatment effects of conservative, medical, and surgical treatment which are currently available, based on the evidence of literatures, and address the promising therapeutic modalities such as new minimally invasive surgical procedures for stress urinary incontinence, botulinum toxin A injection, electrical stimulation (sacral neuromodulation, posterior tibial nerve stimulation), radiofrequency therapy, new pharmacologic agents for overactive bladder and voiding difficulty.

Key Words: Female voiding dysfunction, Stress urinary incontinence, Overactive bladder, Voiding difficulty