{"id":4460,"date":"2021-12-03T08:00:00","date_gmt":"2021-12-03T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4460"},"modified":"2026-08-15T00:21:21","modified_gmt":"2026-08-14T17:21:21","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":"Underactive Bladder in Women: When the Bladder Cannot Empty"},"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\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&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;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, 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Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a 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12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 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=\"has-drop-cap wp-block-paragraph\">The bladder has two jobs: hold urine, and then squeeze it all out. Most attention goes to the first \u2014 the bladder that will not hold. This article is about the opposite problem, the bladder that will not empty, which is <strong>underactive bladder<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is one of the more frequently missed diagnoses in female urology. The symptoms are quiet ones, easy to attribute to age, and easy to mistake for the more familiar overactive bladder \u2014 both make a woman spend a lot of time in the toilet, for entirely opposite reasons. Getting that distinction right matters, because <strong>the drugs used for overactive bladder make an underactive bladder worse<\/strong>.<\/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 aligncenter 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=\"Diagram of bladder function, showing the contraction needed to empty it completely\" 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\">A normal bladder squeezes all the urine out \u2014 which is exactly what an underactive bladder cannot do.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Symptoms<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A weak urinary stream<\/li>\n\n\n\n<li>Taking a long time to finish<\/li>\n\n\n\n<li>The sense of not having emptied, and going again shortly afterwards<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter 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=\"A woman spending a long time in the toilet because of a weak urinary 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\">A weak stream and a long time in the toilet are the characteristic pattern.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Why it happens<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Assessment starts by excluding the commoner explanations, <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/11\/bladder-infection-acute-cystitis\/\">bladder infection<\/a> in particular. Once those are cleared, four <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26558099\/\">causes<\/a> account for most cases.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Neurological conditions<\/strong> \u2014 the bladder is controlled by the brain and spinal cord, so anything affecting either can interrupt the signal: stroke, brain or spinal cord tumour, spinal cord injury, disc herniation, multiple sclerosis.<\/li>\n\n\n\n<li><strong>Ageing<\/strong> \u2014 the detrusor, the muscle in the bladder wall, weakens over time and contracts less forcefully.<\/li>\n\n\n\n<li><strong>Prolonged over-distension<\/strong> \u2014 a bladder stretched too far for too long may not recover its strength. This most often follows surgery under spinal anaesthesia, where the urge to pass urine is blocked and the bladder quietly overfills.<\/li>\n\n\n\n<li><strong>Diabetes<\/strong> \u2014 poorly controlled diabetes damages the nerves supplying the bladder, blunting both the sensation of fullness and the strength of the contraction. This one is worth emphasising because it is the most preventable: good glucose control protects the bladder along with everything else.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter 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=\"Blood glucose testing \u2014 poorly controlled diabetes damages the nerves supplying the 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 weakened contraction are classic consequences of poorly controlled diabetes.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">How the diagnosis is confirmed<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Symptoms alone cannot separate a bladder that will not empty from one that is obstructed, or from an overactive bladder. Two things settle it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The first is the <strong>post-void residual<\/strong> \u2014 a quick, painless ultrasound scan immediately after you pass urine, measuring what is left behind. The second, where the picture is still unclear, is a <strong>urodynamic study<\/strong>, which measures the pressure the bladder generates as it fills and empties. That is what distinguishes a weak bladder from a blocked one, and it is the test that actually establishes underactive bladder rather than merely suggesting it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dr. Soarawee performs urodynamic studies at Bangkok Hospital Headquarters<\/strong>, so the diagnosis can be completed without a separate referral elsewhere.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment<\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Behavioural measures<\/strong> \u2014 <em>timed voiding<\/em>, going by the clock rather than waiting for an urge that may never come, which prevents the over-distension that makes matters worse; <em>assisted voiding<\/em> using gentle abdominal straining; and <em>double voiding<\/em>, trying again about 20 minutes after the first attempt to clear what was left.<\/li>\n\n\n\n<li><strong>Oral medication<\/strong> \u2014 agents that improve bladder sensation and assist the voiding mechanism.<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/drsoaraweeurology.com\/2020\/11\/27\/clean-intermittent-catheterization\/\">Clean intermittent catheterization (CIC)<\/a><\/strong> \u2014 used when a large residual volume is causing trouble: retention, recurrent bladder infections, or strain on the kidneys. It sounds daunting when first suggested and becomes routine within weeks, and for many women it is what finally stops the cycle of repeated infections.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter 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=\"A urinary catheter used for clean intermittent catheterization in underactive bladder\" 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 a high residual volume starts causing complications.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Underactive bladder is genuinely challenging for patient and urologist alike, and there is rarely a single fix. What makes the difference is naming the problem correctly in the first place \u2014 which is why the diagnostic step above is worth insisting on.<\/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>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/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 diagnosed?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnosis begins by excluding other causes of the same symptoms, such as bladder infection. Measuring the post-void residual urine volume by ultrasound immediately after voiding is quick and painless and shows how much urine is being left behind. Where the picture remains unclear, a urodynamic study measures bladder pressure during filling and voiding, which is what distinguishes a weak bladder from an obstructed one and confirms the diagnosis.<\/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\"><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. No medical advice, diagnosis or prescription is provided through personal messaging channels. 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  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"headline\": \"Underactive Bladder in Women: When the Bladder Cannot Empty\",\n      \"description\": \"Why underactive bladder is so often missed and confused with overactive bladder, the four main causes, how post-void residual and urodynamic studies confirm it, and the treatment options.\",\n      \"datePublished\": \"2021-12-03\",\n      \"dateModified\": \"2026-08-12\",\n      \"inLanguage\": \"en\",\n      \"author\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\",\n        \"url\": \"https:\/\/drsoaraweeurology.com\/\"\n      },\n      \"reviewedBy\": {\n        \"@type\": \"Physician\",\n        \"name\": \"Dr. Soarawee Weerasopone\",\n        \"medicalSpecialty\": \"Urology\"\n      },\n      \"about\": {\n        \"@type\": \"MedicalCondition\",\n        \"name\": \"Underactive Bladder\",\n        \"alternateName\": \"Detrusor underactivity\"\n      },\n      \"audience\": {\n        \"@type\": \"PeopleAudience\",\n        \"suggestedGender\": \"female\"\n      }\n    },\n    {\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. 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Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains underactive bladder \u2014 why it is so often missed, how urodynamics confirms it, and what can be done.<\/p>","protected":false},"author":185281453,"featured_media":10043,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Underactive bladder in women: weak stream, prolonged voiding and incomplete emptying. Why it is confused with overactive bladder, how post-void residual and urodynamic studies confirm it, and the treatment from timed voiding to CIC. 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