| A Case of Hinman Syndrome Successfully Treated by Non-Surgical Measures |
|
Won Seoung Lee, Chang Weon Oh, Ki Bok Kim |
|
Department of Pediatrics, Kwangju Christian Hospital, Kwangju, Korea |
| 비수술적 치료로 호전을 보인 Hinman 증후군 1례 |
|
이원성, 오창원, 김기복 |
|
광주기독병원 소아과 |
Correspondence:
Won Seoung Lee, Email: 1
|
|
|
|
|
| Abstract |
|
Hinman syndrome is a condition caused by an incoordination between the detrusor and external urethral sphincter during bladder contraction. Manifestations include day-and-night wetting, residual urine, infected urine, vesicoureteral reflux, christmas-tree shaped bladder-wall change, and upper tract damage without neurologic lesion or anatomical obstruction. Recently, this incoordination was postulated to be due to over-compensation of the external sphincter which compensates the uninhibitory detrusor contraction and pathological persistence of this “detrusor-sphincter dyssynergia” habit after brain cortical maturation. Accordingly, this syndrome is an acquired psychosocial-behavioral problem, reversible by bladder training and does not necessitate surgical intervention. We report a case of nonneurogenic neurogenic bladder who was successfully treated by biofeedback training, anticholinergic drugs and intermittent catheterization. |
| Key Words:
Nonneurogenic neurogenic bladder, Detrusor-sphincter dyssynergia |
|
PDF Links
Download Citation
