Ces Urol 1999, 3(1):7-10

The myogenous failure of urinary bladder detrusor and urine incontinence

R. Fiala, F. Záťura, R. Reif, R. Vrtal

Urologická klinika, FN Olomouc

Authors mention a possible confusion of both illnesses, which have different aetiology and different treatment. Lazy bladder - myogenous bladder failure - is a disease with symptoms of urine escape, inflammations and very frequent micturition or contrary irregular and difficult micture. It can imitate the stress incontinence, urgent incontinence or idiopathic retention status.
The findings in 35 patients sent for incontinence diagnosis were evaluated, where by further examinations the lazy bladder was finally diagnosed. 21 of them (60 %) have underwent an unsuccessful pharmacological treatment in duration from 4 to 24 months. After introduction of frequent intermittent cathetrisation became 34 (97 %) immediately continent, one remains minimum stress incontinent, solving this situation by use of pads in sport activities. The length of treatment duration varied, 22 women (63 %) recovered after six months, 6 patients (17 %) were treated for longer than one year.

Keywords: Urine incontinence, Myogenous urinary bladder failure, Lazy bladder, Frequent intermittent cathetrisation

Published: January 1, 1999