{"id":4460,"date":"2021-12-03T08:00:00","date_gmt":"2021-12-03T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4460"},"modified":"2026-05-18T09:49:55","modified_gmt":"2026-05-18T02:49:55","slug":"%d0%b6%d0%b5%d0%bd%d1%81%d0%ba%d0%b8%d0%b9-%d0%b3%d0%b8%d0%bf%d0%b5%d1%80%d0%b0%d0%ba%d1%82%d0%b8%d0%b2%d0%bd%d1%8b%d0%b9-%d0%bc%d0%be%d1%87%d0%b5%d0%b2%d0%be%d0%b9-%d0%bf%d1%83%d0%b7%d1%8b%d1%80","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ru\/2021\/12\/03\/female-underactive-bladder\/","title":{"rendered":"\u0410\u043d\u043e\u043c\u0430\u043b\u044c\u043d\u043e\u0435 \u043c\u043e\u0447\u0435\u0438\u0441\u043f\u0443\u0441\u043a\u0430\u043d\u0438\u0435 \u0443 \u0436\u0435\u043d\u0449\u0438\u043d: \u0411\u043e\u043b\u0435\u0437\u043d\u044c \u0433\u0438\u043f\u0435\u0440\u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u043c\u043e\u0447\u0435\u0432\u043e\u0433\u043e \u043f\u0443\u0437\u044b\u0440\u044f\ufffc"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" 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0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Female abnormal urination problems are increasingly common in my female urology clinic. Today we will discuss about \u201cUnderactive bladder\u201d disease in female. Normally, the bladder\u2019s function is to store urine and squeeze all urine out when we urinate, but underactive bladder prevents the bladder from contracting as strongly as it should, leading to the following symptoms.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"582\" data-attachment-id=\"4476\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/12\/03\/female-underactive-bladder\/cute-full-and-empty-human-bladder-organ-character-vector-flat-line-cartoon-kawaii-character-illustration-icon-isolated-on-white-background-bladder-with-face-character-mascot-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?fit=1200%2C873&amp;ssl=1\" data-orig-size=\"1200,873\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Cute full and empty human bladder organ character. Vector flat line cartoon kawaii character illustration icon. Isolated on white background. Bladder with face character mascot concept&quot;,&quot;created_timestamp&quot;:&quot;1612033479&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Cute full and empty human bladder organ character. Vector flat line cartoon kawaii character illustration icon. Isolated on white background. Bladder with face character mascot concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Normal bladder must have an ability to squeeze all single drop of urine out of the bladder which &amp;#8220;Underactive bladder&amp;#8221; cannot do.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Normal bladder must have an ability to squeeze all single drop of urine out of the bladder which &amp;#8220;Underactive bladder&amp;#8221; cannot do.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?fit=800%2C582&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?resize=800%2C582&#038;ssl=1\" alt=\"Underactive bladder function\" class=\"wp-image-4476\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?resize=300%2C218&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?resize=1024%2C745&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?resize=768%2C559&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Bladder-function.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Normal bladder must have an ability to squeeze all urine out \u2014 which underactive bladder cannot do.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Weakened urinary stream<\/li>\n\n\n<li>Prolonged time needed to complete urination<\/li>\n\n\n<li>Sense of incomplete bladder emptying<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"467\" data-attachment-id=\"4472\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/12\/03\/female-underactive-bladder\/spend-time-in-toilet\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?fit=1200%2C701&amp;ssl=1\" data-orig-size=\"1200,701\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;ILCE-6300&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1604062291&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;400&quot;,&quot;shutter_speed&quot;:&quot;0.025&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Weak urinary stream with spending more time in toilet is a sign of Underactive bladder.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Weak urinary stream with spending more time in toilet is a sign of Underactive bladder.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?fit=800%2C467&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?resize=800%2C467&#038;ssl=1\" alt=\"Underactive bladder weak stream\" class=\"wp-image-4472\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?resize=300%2C175&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?resize=1024%2C598&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?resize=768%2C449&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Spend-time-in-toilet.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Weak urinary stream with spending more time in toilet is a sign of Underactive bladder.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">After urological assessment rules out other common causes such as bladder infection, we focus on underactive bladder disease and its etiology.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The etiologies of <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26558099\/\">underactive bladder<\/a> disease<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Neurologic-related conditions \u2013 the bladder is controlled by the brain and spinal cord; disorders affecting either can impair bladder function.\n\n<ul class=\"wp-block-list\">\n<li>Stroke<\/li>\n\n\n<li>Brain or spinal cord tumor<\/li>\n\n\n<li>Spinal cord injury<\/li>\n\n\n<li>Disc herniation<\/li>\n\n\n<li>Multiple sclerosis<\/li>\n<\/ul>\n<\/li>\n\n\n<li>Aging process \u2013 the detrusor muscle surrounding the bladder weakens with age, leading to reduced contraction strength.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4474\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/12\/03\/female-underactive-bladder\/rear-view-of-senior-sixty-year-old-woman-with-gray-hair-holding-mug-washing-down-sleeping-pill-suffering-from-insomnia-elderly-retired-female-taking-medicine-with-water-sitting-in-bedroom\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;1.8&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark II&quot;,&quot;caption&quot;:&quot;Rear view of senior sixty year old woman with gray hair holding mug washing down sleeping pill, suffering from insomnia. Elderly retired female taking medicine with water, sitting in bedroom&quot;,&quot;created_timestamp&quot;:&quot;1565014369&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.000625&quot;,&quot;title&quot;:&quot;Rear view of senior sixty year old woman with gray hair holding mug washing down sleeping pill, suffering from insomnia. Elderly retired female taking medicine with water, sitting in bedroom&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Underactive bladder is common found in aging patients.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Underactive bladder is common found in aging patients.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Underactive bladder aging\" class=\"wp-image-4474\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Aging-female.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Underactive bladder is commonly found in aging patients.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>Prolonged bladder over-distension \u2013 commonly following postoperative spinal anesthesia.<\/li>\n\n\n<li>Diabetes Mellitus \u2013 poor DM control leads to reduced sensation of bladder fullness and weakened bladder contraction.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"555\" data-attachment-id=\"4475\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/12\/03\/female-underactive-bladder\/health-care-doctor-help-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?fit=1200%2C832&amp;ssl=1\" data-orig-size=\"1200,832\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;4.5&quot;,&quot;credit&quot;:&quot;rawpixel.com&quot;,&quot;camera&quot;:&quot;NIKON D810&quot;,&quot;caption&quot;:&quot;Health Care Doctor Help Concept&quot;,&quot;created_timestamp&quot;:&quot;1467903410&quot;,&quot;copyright&quot;:&quot;Rawpixel Ltd.&quot;,&quot;focal_length&quot;:&quot;92&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0.01&quot;,&quot;title&quot;:&quot;Health Care Doctor Help Concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Less sense of urination and less bladder contraction power are the classical endpoint of poor control DM.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Less sense of urination and less bladder contraction power are the classical endpoint of poor control DM.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?fit=800%2C555&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?resize=800%2C555&#038;ssl=1\" alt=\"Diabetes and underactive bladder\" class=\"wp-image-4475\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?resize=300%2C208&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?resize=1024%2C710&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?resize=768%2C532&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/DM.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Reduced bladder sensation and contraction are classical endpoints of poorly controlled diabetes mellitus.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment options for underactive bladder disease:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Behavioral therapy\n\n<ul class=\"wp-block-list\">\n<li>Timed voiding \u2013 urinating on a regular schedule to prevent overdistension<\/li>\n\n\n<li>Assisted voiding by abdominal straining<\/li>\n\n\n<li>Double-voiding technique \u2013 attempting to urinate again 20 minutes after the first void<\/li>\n<\/ul>\n<\/li>\n\n\n<li>Oral medications \u2013 agents that increase bladder sensation and facilitate the voiding mechanism<\/li>\n\n\n<li>Clean intermittent self-catheterization (CIC) \u2013 indicated when high post-void residual urine causes complications such as urinary retention, recurrent bladder infections, or renal impairment<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"4473\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/12\/03\/female-underactive-bladder\/urethral-catheter-hold-on-blue-glove-hand-on-white-background-6\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;5.6&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS Kiss X2&quot;,&quot;caption&quot;:&quot;urethral catheter hold on blue glove hand on white background&quot;,&quot;created_timestamp&quot;:&quot;1567694652&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;60&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;urethral catheter hold on blue glove hand on white background&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"CIC is considered when patients experienced the complication of a high residual urine.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;CIC is considered when patients experienced the complication of a high residual urine.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Clean intermittent self-catheterization\" class=\"wp-image-4473\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/12\/Urethral-catheter.jpg?resize=18%2C12&amp;ssl=1 18w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">CIC is considered when patients experience complications from high residual urine volume.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Female underactive bladder is always a challenging issue for both urologist and patient. Better understanding the cause and selecting the proper treatment will bring out the best outcome.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can visit my official website <a href=\"https:\/\/drsoaraweeurology.com\/\">here<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Female Underactive Bladder<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is underactive bladder in females and what are the symptoms?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Underactive bladder is a condition where the bladder muscle (detrusor) cannot contract with sufficient strength to empty the bladder completely. In women, this typically presents as a weak urinary stream, prolonged time needed to urinate, and a persistent sense of incomplete emptying. Unlike overactive bladder, it is caused by insufficient bladder contraction rather than excessive urgency, and is often underdiagnosed.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What causes underactive bladder?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The main causes include neurological conditions affecting the brain or spinal cord (stroke, spinal cord injury, disc herniation, multiple sclerosis), natural aging of the detrusor muscle, prolonged bladder over-distension (such as after spinal anesthesia), and poorly controlled diabetes mellitus which damages the nerve supply to the bladder. Identifying the underlying cause is essential for choosing the right treatment approach.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">How is underactive bladder treated?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment starts with behavioral therapy: timed voiding schedules, assisted voiding by straining, and double-voiding techniques. Oral medications that increase bladder sensation or facilitate emptying may be added. When high residual urine causes complications such as urinary retention, recurrent infections, or kidney impairment, clean intermittent self-catheterization (CIC) is recommended as a safe and effective long-term solution.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing abnormal voiding symptoms such as weak stream or incomplete bladder emptying, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What is underactive bladder in females and what are the symptoms?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Underactive bladder occurs when the detrusor muscle cannot contract strongly enough to empty the bladder. Symptoms include weak urinary stream, prolonged voiding time, and persistent sense of incomplete emptying. It is caused by insufficient bladder contraction rather than urgency.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"What causes underactive bladder?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Causes include neurological conditions (stroke, spinal cord injury, disc herniation, multiple sclerosis), aging of the detrusor muscle, prolonged bladder overdistension after spinal anesthesia, and poorly controlled diabetes mellitus causing bladder nerve damage.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"How is underactive bladder treated?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Treatment includes behavioral therapy (timed voiding, assisted voiding, double-voiding), oral medications to improve bladder sensation and emptying, and clean intermittent self-catheterization (CIC) when high residual urine causes urinary retention, recurrent infections, or kidney impairment.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Female abnormal urination problems are increasingly common in my female urology clinic. Today we will discuss about \u201cUnderactive bladder\u201d disease in female. Normally, the bladder\u2019s function is to store urine and squeeze all urine out when we urinate, but underactive bladder prevents the bladder from contracting as strongly as it should, leading to the following [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10043,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Learn about underactive bladder in women \u2014 symptoms, causes (neurological, diabetes, aging), and treatments including CIC. By Dr. Soarawee, urologist Bangkok.","jetpack_seo_html_title":"Female Underactive Bladder: Causes & Treatment | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1367],"tags":[1565,1566],"class_list":["post-4460","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-female-urology","tag-female-urology","tag-underactive-bladder"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Female-Underactive-Bladder.webp?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-19W","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts\/4460","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/comments?post=4460"}],"version-history":[{"count":19,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts\/4460\/revisions"}],"predecessor-version":[{"id":9700,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/posts\/4460\/revisions\/9700"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/media\/10043"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/media?parent=4460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/categories?post=4460"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ru\/wp-json\/wp\/v2\/tags?post=4460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}