Any morbid phenomenon or departure from the normal in structure, function, or sensation experienced by the woman and indicative of disease or a health problem. Symptoms are either volunteered by, or elicited from the individual, or may be described by the individual’s caregiver.
Bladder storage symptoms: frequency, nocturia, urgency, OAB, urgency syndrome
Sensory symptoms: increased/reduced/absent bladder sensation
Voiding and postmicturition symptoms: slow stream, spraying, intermittency, hesitancy, straining, feeling of incomplete (bladder) emptying, need to immediately re-void, postmicturition leakage, position-dependent micturition, dysuria, (urinary) retention
Urinary incontinence symptoms: stress, urgency, postural, nocturnal enuresis, mixed, continuous, insensible, coital
Pelvic organ prolapse (POP) symptoms: vaginal bulge, pelvic pressure, bleeding/discharge/infection, splinting/digitation, low backache
Normal detrusor function (during voiding cystometry)
Achieved by an initial (voluntary) reduction in intraurethral pressure (urethral relaxation). This is generally followed by a continuous detrusor contraction that leads to complete bladder emptying within a normal time span. Many women will void successfully (normal flow rate and no PVR) by urethral relaxation alone, without much of a rise in detrusor pressure. The amplitude of the detrusor contraction will tend to increase to cope with any degree of bladder outflow obstruction.