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."

The Iris Cantor Men’s Health Center

Appointments: (646) 962-4811

The Iris Cantor Men's Health Center offers a complete and comprehensive array of healthcare services for men at a single clinical location in New York City. The objective of the Center is to provide an integrated, one-stop medical experience for men's healthcare. This center provides comprehensive care under specialties including Preventative Medicine, Internal Medicine, Endocrinology, Cardiology, Urology, Rehabilitation Medicine, Nutrition, Plastic Surgery, and Clinical Genetics.

Bilal Chughtai

Bilal Chughtai, MD is an Associate Professor of Urology and an Associate Professor of Urology in Obstetrics and Gynecology at Weill Cornell Medicine. He is also an Associate Attending Urologist at NewYork-Presbyterian Hospital. Dr. Chughtai specializes in Voiding Dysfunction, Female Urology, and Neurourology.

Alexis E. Te

Dr. Alexis E. Te is a Professor of Urology at the Weill Medical College at Cornell University, the Director of Urology Program at the Iris Cantor Men's Health Center, the Director of the Brady Prostate Center and Urodynamic Laboratory, as well as Co-Director of Urodynamics and an Attending Urologist in the Department of Urology at New York-Presbyterian Hospital.

Voiding Dysfunction

During normal urination, the urethra relaxes and opens when the bladder muscle contracts, allowing urine to pass out of the body freely. In those with voiding dysfunction, the urethra does not relax when the bladder muscle contracts, making it difficult for urine to pass.


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