Dysfunctional Voiding (DV)

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Dysfunctional voiding (DV) is a disorder with poor coordination between the bladder muscle and the urethra, characterized by dyssynergic striated sphincter activity. It can present at any age with a spectrum of storage and voiding symptoms that may resemble florid neurogenic bladder. DV means that a patient's bladder does not empty the way it should. As a result, the bladder gets too full with urine. Patients with DV may have problems such as bedwetting, wetting your clothes during the daytime, or urine (bladder) infections.

What causes DV?

A special muscle called a sphincter that helps keep the urine inside your bladder. Normally, when your bladder becomes full, it sends a message to your brain saying it’s time to go to the bathroom. When you pee, you make the sphincter relax to let the bladder empty. Then the bladder muscle squeezes the urine out. You can’t control the bladder muscle, but you can control the sphincter muscle. Some people develop a habit of keeping the sphincter closed so they don’t have to pee very often. There are many causes for dysfunctional voiding:

  • Constipation
  • Habitually holding urine
  • Holding urine when away from home
  • Bladder infections

Over time, if the bladder gets stretched by holding too much urine, it stops sending messages to the brain that it is getting full. You may not realize your bladder is full until it is so full it is about to overflow. Then you may have to run to the bathroom very quickly, or you may wet your pants. You may also have urine left in your bladder after you pee, even though you don’t feel it, which increases your risk of bladder infection. [1]


JOGO Digital Therapeutic (DTx) that uses EMG Biofeedback combined with Pelvic Floor Muscle Training (PFMT) is shown to treat Dysfunctional voiding (DV).


The use of JOGO Digital Therapeutic (DTx) for Female Dysfunctional Voiding: A Case Study


  1. https://www.med.unc.edu

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