What are the diagnostic considerations in the diagnosis of bladder dysfunction?

Updated: Jan 04, 2019
  • Author: Gregory T Carter, MD, MS; Chief Editor: Elizabeth A Moberg-Wolff, MD  more...
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Answer

In addition to the conditions listed in the differential diagnosis, other problems to be considered include the following:

  • Urinary outflow obstruction

  • Prostatism

  • Urinary tract infection

Failure to identify urinary tract infections could lead to urosepsis. Failure to identify reflux could lead to renal failure. Failure to identify abnormal bladder mechanics (eg, dyssynergia) could lead to inappropriate management. Failure to perform cystoscopy for patients who have had long-term indwelling catheters may lead to missing a diagnosis of bladder cancer.

Consult a urologist for diagnostic and therapeutic management of new and complicated cases.


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