All issues > Volume 42(5); 1999

Case Report

J Korean Pediatr Soc. 1999;42(5):722-727. Published online May 15, 1999.

A Case of Hinman Syndrome Successfully Treated by Non-Surgical Measures

Won Seoung WS Lee¹, Chang Weon CW Oh¹, Ki Bok KB Kim¹

¹Department of Pediatrics, Kwangju Christian Hospital, Kwangju, Korea

Correspondence Won Seoung WS Lee ,Email: 1

Abstract

Hinman syndrome is a condition caused by an incoordination between the detrusor and external urethral sphincter during bladder contraction. Manifestations include day-and-night wetting, residual urine, infected urine, vesicoureteral reflux, christmas-tree shaped bladder-wall change, and upper tract damage without neurologic lesion or anatomical obstruction. Recently, this incoordination was postulated to be due to over-compensation of the external sphincter which compensates the uninhibitory detrusor contraction and pathological persistence of this “detrusor-sphincter dyssynergia” habit after brain cortical maturation. Accordingly, this syndrome is an acquired psychosocial-behavioral problem, reversible by bladder training and does not necessitate surgical intervention. We report a case of nonneurogenic neurogenic bladder who was successfully treated by biofeedback training, anticholinergic drugs and intermittent catheterization.

Keywords :Nonneurogenic neurogenic bladder, Detrusor-sphincter dyssynergia