Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Female Voiding Dysfunction

Female Voiding Dysfunction

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Patrick J. Culligan

Patrick Culligan, MD, FACOG, FACS, graduated from Georgia Tech in 1989 and from the Mercer University School of Medicine in 1993. After completing his residency in Obstetrics and Gynecology with the Greenville Hospital System / University of South Carolina, he went on to a fellowship in Urogynecology and Reconstructive Pelvic Surgery at the Evanston Continence Center, Northwestern University Medical School, where he trained extensively in the surgical and non-surgical management of all pelvic floor disorder such as pelvic organ prolapse, urinary incontinence, and fecal incontinence.

Voiding Dysfunction - Treatment Options

Pelvic floor therapy:

Pelvic floor therapy consists of visits to a physical therapist with specialized training in pelvic floor disorders. To treat voiding dysfunction, these specialized physical therapists utilize a combination of various techniques to re-educate the nerves and muscles that control the urethra.

Intermittent self-catheterization:

Intermittent self-catheterization involves regularly inserting a catheter into your urethra in order to empty the bladder more completely. This is an option if urinary retention is present.

Voiding Dysfunction - Symptoms & Evaluation

Symptoms of voiding dysfunction include difficulty emptying the bladder, urinary hesitancy, slow or weak urine stream, urinary urgency, urinary frequency, and dribbling urine after urination is complete.

Voiding Dysfunction - Risks & Causes

Voiding dysfunction may be caused by nerve dysfunction, non-relaxing pelvic floor muscles, or both. If the problem stems from a neurological disorder or spinal injury, it is referred to as "detrusor external sphincter dyssynergia."

Richard Lee

Dr. Richard Lee, MD MBA, completed his undergraduate degree at Duke University and his MD/MBA in Healthcare Management at the University of Pennsylvania School of Medicine and the Wharton School. He completed his surgical internship and urology residency at Weill Cornell Medical College/New York-Presbyterian Hospital. He completed his fellowship in Voiding Dysfunction, Female Urology, and Neurourology at both Weill Cornell Medical College/New York-Presbyterian Hospital and Memorial Sloan Kettering Cancer Center, after which he was appointed to the full-time faculty at Cornell in July 2011.

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