Detrusor hyperactivity with impaired contractility

DHIC detrusor hyperactivity with impaired contractility... 

Various types of UI may coexist in the same patient. The combination of bladder overactivity and urethral underactivity is termed mixed incontinence. This is often a difficult diagnosis to make because of the often-confusing array of presenting symptoms. Bladder overactivity may also coexist with impaired bladder contractility. This is most common in the elderly and is termed detrusor hyperactivity with impaired contractility. ... 

Resnick NM, Yalla S. Detrusor hyperactivity with impaired contractile function. An unrecognized but common cause of incontinence in the elderly patient. JAMA 1987 257 3076-3081. 

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