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Aetiology

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Congenital:

  • urethral valves
  • urethral polyps
  • urethral stricture

Acquired:

  • structural:
    • benign prostatic hypertrophy
    • prostatic carcinoma
    • bladder neck stenosis
    • urethral stricture
    • urethral carcinoma
    • urethral stones
    • external compression:
      • pelvic tumour
      • faecal impaction
  • functional:
    • dyssynergia: a lack of coordination between the detrusor and either the smooth muscle of the bladder neck or the striated sphincter

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