It is estimated that as many as 25 million Americans suffer from bladder control problems. Voiding dysfunction is a condition in which the bladder does not function properly. There are several conditions that can lead to a voiding dysfunction.
Meet Our DoctorsUrinary incontinence is defined as the inability to control urine flow. The condition can occur in four forms, stress incontinence, urge incontinence, mixed urinary incontinence or overflow incontinence.
Urine leakage is caused by an increase in abdominal pressure, such as sneezing, coughing or laughing.
An urge to urinate that occurs suddenly. Patients may be unable to make it to the toilet before leakage occurs.
Urinary problems may be a combination of stress and urge incontinence.
The bladder is unable to empty properly causing the patient to leak and urinate frequently.
This condition is characterized by urinary frequency, urgency or urge incontinence. It can occur in both men and women, but women are affected with the condition more often. Typically, overactive bladder occurs later in life.
This condition is characterized by the inability to completely empty the bladder. Patients typically produce a weak or dribbling stream of urine.
Specific conditions such as benign prostatic hyperplasia (BPH), cancer or urethral structures may interfere with the body’s ability to pass urine completely.
Tests which may be performed to diagnose voiding dysfunction include: a urinalysis, cystoscopy (looking into the bladder), urodynamics (the study of bladder function and urine flow) or a bladder scan (a non-invasive procedure which measures the amount of urine left in the bladder).
Non-surgical and Behavioral Techniques – Many non-surgical and behavioral techniques can be used to help treat voiding dysfunction including:
Surgery – Several minimally invasive procedures, as well as more extensive surgical procedures, may be necessary to treat voiding dysfunction. Commonly performed procedures include collagen injections, pubovaginal slings, microwave treatments for enlarged prostates (BPH), bladder augmentation or insertion of artificial urinary sphincters. TUCC physicians lead the region in performing robotic ureteral repairs of ureteral strictures and injuries.
TUCC physician Lawrence Karsh, M.D., was a lead principal investigator in this Phase III, double-blind, randomised, placebo-controlled study of men with non-metastatic castration-resistant prostate cancer at high risk of bone metastasis published in The Lancet in January 2012. Read Article
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TUCC physician, Lawrence Karsh, M.D., was a lead principal investigator in this clinical trial, published in the US National Library of Medicine in November 2017. Read Article
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TUCC physicians Juan Montoya, M.D., Eric Gross, M.D., Lawrence Karsh, M.D., published in The Canadian Journal of Urology International, 2018 Read Article
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