A Case of Hinman Syndrome Successfully Treated by Non-Surgical Measures.
- Author:
Won Seoung LEE
1
;
Chang Weon OH
;
Ki Bok KIM
Author Information
1. Department of Pediatrics, Kwangju Christian Hospital, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Nonneurogenic neurogenic bladder;
Detrusor-sphincter dyssynergia
- MeSH:
Ataxia;
Biofeedback, Psychology;
Brain;
Catheterization;
Catheters;
Urethra;
Urinary Bladder;
Urinary Bladder, Neurogenic;
Vesico-Ureteral Reflux
- From:Journal of the Korean Pediatric Society
1999;42(5):722-727
- CountryRepublic of Korea
- Language:Korean
-
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.
