The significance of the psychosomatic factor in urge incontinence.
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Biomedical subjects
Publications and source records attributed to W K Frewen.
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The historical pattern of frequency and urgency of micturition is outlined and their role as the prime motivator of detrusor instability discussed. Thirty female patients were analysed; provocative cystometry was performed in 22 of them. Their management is reviewed and a programme of out-patient treatment submitted.
An objective assessment of 40 female patients with an unstable bladder was made. An organic or structural cause had previously been eliminated. In all patients an emotive or psychogenic origin for their urinary symptoms was discovered. The diagnosis of detrusor instability was confirmed by cystometry and bladder drill retraining was employed for 3 months. Cystometric investigation was then repeated and the patient was reassessed from the symptomatic point of view. The cure rate was 82.5%.
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