Dysfunctional Voiding Syndrome: Symptoms, Causes, and Treatment

Dysfunctional Voiding Syndrome (DVS) is a condition that affects both children and adults, causing difficulties with the normal process of urination. Patients with DVS cannot effectively coordinate the muscles involved in bladder emptying. To offer guidance, our experts in pediatric pelvic floor therapy at Peak Physical Therapy have outlined the common symptoms, underlying causes, and treatment options for dysfunctional voiding syndrome.

Symptoms of Dysfunctional Voiding Syndrome:

• Urinary incontinence - involuntary urine leakage
• Urinary urgency (also known as an overactive bladder) - a persistent and intense urge to urinate, even when the bladder is not full
• Hesitant or weak urine stream - difficulties with initiating or maintaining a steady urine stream
• Excessive straining or pushing during urination - typically a result of muscle tension or coordination issues

Causes of Dysfunctional Voiding Syndrome

The exact causes of dysfunctional voiding syndrome are not fully understood, but several factors may contribute to its development.

Neurological Factors

Dysfunction in the communication between the brain, spinal cord, and bladder muscles can disrupt the normal coordination required for efficient voiding.

Psychological Factors

Emotional stress or anxiety can lead to tension in the pelvic muscles, affecting bladder function and contributing to DVS symptoms.

Pelvic Floor Muscle Dysfunction

Weak or overly tense pelvic floor muscles can interfere with proper bladder control, leading to dysfunctional voiding.

Treatment Options for Dysfunctional Voiding Syndrome

Treatment plans for dysfunctional voiding syndrome are often tailored to the individual's specific symptoms. Our pediatric pelvic floor therapy specialists may use a combination of approaches to effectively manage and alleviate the symptoms of DVS.

Behavioral Modification

This approach focuses on retraining the bladder and improving voiding habits. Techniques may include scheduled voiding, timed voiding, and relaxation exercises to promote proper muscle coordination.

Pelvic Floor Physical Therapy

Our pediatric physical therapy clinics incorporate specialized exercises and techniques designed to strengthen and relax the pelvic floor muscles. Biofeedback, which provides real-time information about muscle activity, can also help improve muscle control.

Prescription Medications

In some cases, medications may be prescribed to relax the bladder muscles or address underlying conditions such as urinary tract infections.

Trust Our Pediatric Pelvic Floor Therapy Specialists

Dysfunctional voiding syndrome can be painful and embarrassing, but there are viable treatment options available to alleviate its symptoms. By addressing the underlying causes and focusing on bladder retraining and pelvic floor muscle strengthening, when necessary, patients with DVS can gain control over their bladder function and their quality of life. Parents who are noticing DVS with themselves or their children should consult with our pediatric pelvic floor therapy experts at Peak Physical Therapy. Our team can provide an accurate diagnosis and develop a personalized treatment plan that restores daily comfort and confidence. Visit our Get Educated page to find my resources regarding pelvic-related dysfunctions and conditions.

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