Functional Voiding Disorders in Men

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Abstract
A total of 47 men who complained of recurrent voiding symptoms and/or peri-genital pain syndrome of obscure etiology underwent neuro-urologic evaluation. Results of urodynamic assessment were divided into 3 groups: bladder areflexia with nonrelaxing perineal floor (50%), bladder hyperreflexia (36%) and normal studies (14%). Pain symptoms were reproduced during bladder filling or contraction in 45% of the patients. Treatment was according to the type of urodynamic abnormality demonstrated, resulting in a 77% improvement rate. The concept of functional voiding disturbance and its relation to chronic prostatitis are discussed.