[Dynamic bladder neck stenosis as a cause of psychogenic mictrition discomforts and mictrition disorders].

Symptoms of an "overactive bladder" can be psychological and in many cases are considered to be the result of psychogenic muscular tension of the pelvic floor causing a "dynamic stenosis" of the bladder neck. Psychogenic muscular tension can have its origin in psychic trauma during bladder training at the age of 1-3 years, leading to an obsessive-compulsive personality structure. A tendency to muscular tension, especially in the pelvic region, as well as to disorders of the lower bowl can be found in afflicted persons. Psychological defence and avoidance reactions, problems with contact and security, sexual abuse in childhood, as well as stress, anxiety, disappointment and anger can be the result of psychic trauma. Typical triggers involve psychological actualisation or compression. Because of the tendency to muscular tension with many psychogenic symptoms of voiding dysfunction, dispensing of medication, physical muscle relaxant measures show good therapeutic results.