TYPES AND UNDERLYING CAUSES
The abnormally small, or contracted bladder (Schrumpfblase of the Germans) may occur on the basis of a variety of etiologic factors. The congenital origin of the condition is extremely rare, and only the acquired forms deserve consideration for practical purposes.
In certain forms of neuroses (neurasthenia and hysteria) contraction of the bladder may occur as the result of continuous tonic spasm of its muscular coat. The main symptoms of this condition consist in distressing pollakiuria and strangury, gradually leading to almost continuous tenesmus, and eventually resulting in marked loss of bladder capacity. Classical descriptions of this "functional intolerance of the bladder" are recorded in the French literature by Guyon,1 Guiard2 and Janet.3
Extravesical inflammatory processes, terminating in definite pericystitic and paracystitic connective tissue involvement, as frequently encountered in the female pelvis, may occasionally lead to contracted bladder. I have had the opportunity to examine such bladders,
Krotoszyner M. THE CYSTOSCOPIC DIAGNOSIS OF CONTRACTED BLADDER*. JAMA. 1917;LXVIII(9):687–691. doi:10.1001/jama.1917.04270030019006
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