A Case of Hinman Syndrome Successfully Treated by Non-Surgical Measures
Journal of the Korean Pediatric Society
;
: 722-727, 1999.
Article
in Korean
| WPRIM
| ID: wpr-7735
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ataxia
/
Urethra
/
Vesico-Ureteral Reflux
/
Biofeedback, Psychology
/
Urinary Bladder
/
Urinary Bladder, Neurogenic
/
Brain
/
Catheterization
/
Catheters
Language:
Korean
Journal:
Journal of the Korean Pediatric Society
Year:
1999
Type:
Article
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