Hinman syndrome
| Classification according to ICD-10 | |
|---|---|
| N31.8 | Other bladder neuromuscular dysfunction |
| ICD-10 online (WHO version 2019) | |
As Hinman syndrome or "non-neurogenic neurogenic bladder" (NNNB), engl. Also lazy bladder syndrome and infrequent voider syndrome , a special form of bladder emptying disorder is called. It was first described in 1974 by Frank Hinman .
The term “non-neurogenic neurogenic bladder”, which is strange at first glance, is explained by the fact that the same functional disorders occur as with a neurogenic bladder , but neurological changes cannot be detected. Possible neurological causes must therefore be ruled out before the diagnosis is made with the aid of the urodynamic examination.
There is usually a large bladder capacity with a rare frequency of urination . The cause is assumed to be a form of detrusor-sphincter dyssynergy learned in childhood, mostly as a result of a delay in maturation of the pathways of the central nervous system and behavioral disorders .
therapy
Therapeutically, the aim is to empty the bladder every 2 to 3 hours (according to the clock), whereby the remaining urine should be reduced through multiple micturition. Biofeedback sessions are another therapy option, whereby the limited ability to work together in children must also be taken into account. In the case of recurring urinary tract infections, appropriate infection prophylaxis must be carried out in order to protect the person concerned from damage to the upper urinary tract. Alpha-blockers such as doxazosin can be helpful. If these measures are not sufficient to prevent frequent urinary tract infections , especially the upper urinary tract , intermittent catheterization is recommended.
Individual evidence
- ^ Frank Hinman: Urinary Tract Damage in Children Who Wet . In: Pediatrics . Vol. 54, No. 2 , August 1974, p. 143-150 , PMID 4847848 .
- ↑ Frank Hinman Jr. Obituary. In: San Francisco Chronicle. May 27, 2011, accessed August 21, 2011 .
- ^ PF Austin et al .: alpha-Adrenergic blockade in children with neuropathic and nonneuropathic voiding dysfunction. In: The Journal of Urology , 1999, 162, pp. 1064-1067, PMID 10458432 .
