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Treatment of lower urinary tract dysfunction Tomonori Yamanishi 1 , Mikihiko Honda 1 , Ken-Ichiro Yoshida 1 1Department of Urology, Dokkyo Medical University Keyword: 排尿障害 , 治療 , 抗コリン薬 , コリン作動薬 , α-遮断薬 , 電気刺激療法 pp.755-762
Published Date 2010/7/15
DOI https://doi.org/10.11477/mf.1542102336
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Lower urinary tract dysfunction is divided into filling and voiding dysfunction, and each is further divided into bladder (detrusor) and urethral (sphincter) dysfunction. Thus the strategy of treatment for lower urinary tract dysfunction is targeted for either side of the dysfunction. Many elderly patients may have both filling and voiding dysfunction, and thus the treatment should be targeted for "the balanced bladder". The first line conservative treatment is behavioral therapy that include life style intervention, scheduled voiding regimens, and physical therapies. Pharmacotherapy includes anticholinergic agents for overactive bladder, clenbuterol for stress urinary incontinence, cholinergic drugs combined with α-blockers for underactive bladder, and α-blockers for functional bladder outlet obstruction.


Copyright © 2010, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1367 印刷版ISSN 0485-1420 医学書院

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