علاج داء تخزين الغليكوجين من النوع الرابع في المثانة العصبية مع التردد البولي وصعوبة الإفراغ

DOI: 10.1016/j.ymgme.2023.107525

For patients with hesitancy, straining, slow stream, or emptying difficulties, first-line treatments include timed voiding, double voiding (i.e., attempting to void again immediately after going), optimizing bowel function, and pelvic floor muscle exercises geared toward improving relaxation and tone (see Section 5.6).

Titrating muscle relaxants can be helpful in promoting pelvic floor relaxation during voiding.

α-blockers can be trialed to improve urinary flow and emptying, but there is limited data on efficacy, especially in women.