Treatment of Neurogenic Voiding Dysfunction: An Update
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Laura G. Stansell & Ariana L. Smith & William I. Jaffe
- چاپ و سال / کشور: 2010
Description
The neurophysiology of volitional voiding is a poorly understood and constantly evolving field. Some of the most difficult clinical problems in urology arise from structural or neural deviations from this process. These may occur as a result of traumatic injury, congenital defect, or neurological disease. Neurogenic voiding dysfunction is a frequently encountered disorder with multiple etiologies and nonstandardized care. A pervasive complaint in neurogenic voiding dysfunction is detrusor overactivity and resultant urinary incontinence. However, the results of “ideal” initial therapy—catheterization with or without anticholinergics— have been far from satisfactory. This review attempts to go beyond perfunctory measures to explore recent data on anticholinergic therapies, long-term data on botulinum A toxin injections, and applications of neuromodulation.
Curr Bladder Dysfunct Rep (2011) 6:37–44 DOI 10.1007/s11884-010-0077-0 Published online: 18 December 2010
