Voiding Dysfunction

Center for Urogynecology and Pelvic Reconstructive Surgery

Fareesa Khan, MD

Urogynecologist located in St. Louis, MO & Farmington, MO

If your bladder and urethra have poor communication, it can result in voiding dysfunction. At Center for Urogynecology and Pelvic Reconstructive Surgery in St. Louis, expert urogynecologist Fareesa G. Khan, MD, offers evaluation and treatment for problems such as fully emptying the bladder, weak urine streams, and irregular frequency or urgency of urine. If you have urinary dysfunction, call the office or book an appointment using the online tool to get your life back.

Voiding Dysfunction Q & A

What is voiding dysfunction?

Voiding dysfunction describes conditions that result due to poor coordination between the bladder muscle and urethra. These two parts of your body usually communicate smoothly, allowing for the storage and timely release of urine. 

The urinary organs are the bladder, ureters, urethra, and kidneys. If you experience abnormalities filling, storing, or emptying urine, you may have voiding dysfunction.

Voiding dysfunction can describe:

  • Urinary hesitancy
  • Urinary urgency 
  • Urinary frequency (more than 8 times per day)
  • Dribbling of urine
  • Slow or weak urine stream
  • Trouble emptying bladder fully

These problems result from the overactivity of the pelvic floor muscles or the incomplete relaxation of the muscles. Urinary incontinence and interstitial cystitis are types of voiding dysfunction.

How are voiding problems diagnosed?

Voiding dysfunction is due to nerve dysfunction and nonrelaxing pelvic floor muscles. Dr. Khan performs tests, including uroflowmetry, to measure urine speed and volume. She may also order pressure-flow studies to measure your bladder pressure and flow rate. These tests help evaluate the problems behind your voiding dysfunction. 

You may also undergo postvoid residual measurement, where you urinate into a container that measures your output. Dr. Khan measures the amount of leftover urine in your bladder using a catheter or ultrasound. The results may reveal an obstruction in your urinary tract or a problem with your muscles or nerves.

What are the treatments for voiding dysfunction?

Treatment for voiding dysfunction depends on the nature of your problem. You may benefit from changes in your lifestyle habits, including dietary and exercise changes. Other therapies that help to void dysfunction are specific medications, physical therapy, and electrical stimulation. 

Dr. Khan also recommends Botox® for some cases of urinary dysfunction and incontinence. Botox helps relax muscles that contribute to an overactive bladder, for example. 

Some women require surgery to correct organ prolapse or sling procedures to improve symptoms of voiding dysfunction.

Any unusual problems with urination that involve urgency, frequency, or emptying could indicate a voiding dysfunction. Call the Center for Urogynecology and Pelvic Reconstructive Surgery or book a consultation using the online scheduler to be evaluated and restore normal urinary function.