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Uroneurology

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https://www.readbyqxmd.com/read/26810540/lower-urinary-tract-dysfunction-in-patients-with-functional-movement-disorders
#1
Amit Batla, Isabel Pareés, Mark J Edwards, Maria Stamelou, Kailash P Bhatia, Jalesh N Panicker
INTRODUCTION: Functional movement disorders (FMD) are not associated with the kind of structural or biochemical alterations seen in other movement disorders and therefore would be unlikely to be associated with lower urinary tract (LUT) dysfunction. However, LUT symptoms have been observed in patients with FMD. OBJECTIVE: To evaluate the frequency and pattern of LUT symptoms, their possible nature and the impact they have on the quality of life of patients with FMD...
February 15, 2016: Journal of the Neurological Sciences
https://www.readbyqxmd.com/read/21334639/long-term-effect-on-quality-of-life-of-repeat-detrusor-injections-of-botulinum-neurotoxin-a-for-detrusor-overactivity-in-patients-with-multiple-sclerosis
#2
Shahid Khan, Xavier Game, Vinay Kalsi, Gwen Gonzales, Jalesh Panicker, Sohier Elneil, Apostolos Apostolidis, Rizwan Hamid, Prokar Dasgupta, Thomas M Kessler, Clare J Fowler
PURPOSE: We studied the effect of repeat detrusor botulinum neurotoxin type A injections on urinary symptoms, health and quality of life in patients with refractory neurogenic detrusor overactivity secondary to multiple sclerosis. MATERIALS AND METHODS: This was a prospective, open label, single center study in 137 patients with multiple sclerosis treated with detrusor injections of botulinum neurotoxin type A with observations made from 2002 to 2009. A minimally invasive outpatient technique was used for injection...
April 2011: Journal of Urology
https://www.readbyqxmd.com/read/18800578/-long-holder-hidden-forked-thorn-wound-level-in-patients-with-diagnosis-of-overactive-bladder-pilot-study
#3
COMPARATIVE STUDY
Primo Roberto Martínez Chavarria, Esther Silvia Rodríguez Colorado, Laura Escobar del Barco, Raymundo Guzmán Rodríguez
BACKGROUND: Anatomical alterations in bony structures, as the sacrum, can be related with defects in nervous supply to pelvic viscera and low urinary tract. OBJECTIVE: To relate location of damages at spina bifida occult with diagnosis of overactive bladder. MATERIAL AND METHODS: Cross sectional study between December 2005 and March 2006 in 31 patients with diagnose of overactive bladder. All of them with complete medical history, uroneurologic physical exam, multichannel urodynamic study, urethrocystoscopy, urine culture, bladder voiding, life quality questionnaire, and antero subsequent, sacred lateral and lumbar column x-ray...
October 2007: Ginecología y Obstetricia de México
https://www.readbyqxmd.com/read/18703880/correlation-of-cutaneous-lesions-with-clinical-radiological-and-urodynamic-findings-in-the-prognosis-of-underlying-spinal-dysraphism-disorders
#4
Mehdi Sasani, Bahloul Asghari, Yalda Asghari, Ruya Afsharian, Ali Fahir Ozer
Spinal dysraphism is characterized by a lack of fusion of the vertebral arches that occurs in the absence of spinous processes with variable amounts of lamina. Here, we retrospectively present the importance of cutaneous lesions and their correlation with clinical presentation, radiological examination and urodynamic assessment. We retrospectively reviewed 612 (6.12%) cases with skin lesions from 10,000 consecutive live-born children seen at two institutions between January 1998 and March 2005. We divided all children into a control group and three groups based on clinical assessment, radiological examination and urodynamic evaluation results...
2008: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/16511861/incomplete-emptying-and-urinary-retention-in-multiple-system-atrophy-when-does-it-occur-and-how-do-we-manage-it
#5
Takashi Ito, Ryuji Sakakibara, Kosaku Yasuda, Tatsuya Yamamoto, Tomoyuki Uchiyama, Zhi Liu, Tomonori Yamanishi, Yusuke Awa, Kaori Yamamoto, Takamichi Hattori
Neurogenic urinary retention can be a major cause of morbidity in multiple-system atrophy (MSA). However, the timing of its appearance has not been entirely clear, and neither have the medical and surgical modalities for managing patients. We present the data obtained from our uroneurological assessment and therapeutic interventions at various stages of MSA. We recruited 245 patients with probable MSA. We measured postvoid residuals (PVR) and performed EMG cystometry in all patients. The grand average volume of PVR was 140 mL (range, 0-760) in our patients...
June 2006: Movement Disorders: Official Journal of the Movement Disorder Society
https://www.readbyqxmd.com/read/15243675/-validation-of-the-international-consultation-on-incontinence-questionnaire-short-form-iciq-sf-for-portuguese
#6
José Tadeu Nunes Tamanini, Miriam Dambros, Carlos Arturo Levi D'Ancona, Paulo César Rodrigues Palma, Nelson Rodrigues Netto
OBJECTIVE: To translate into and validate for Portuguese the "International Consultation on Incontinence Questionnaire -- Short Form" (ICIQ-SF), a condition-specific quality-of-life questionnaire for patients with urinary incontinence. METHODS: Two Brazilians independently translated the original ICIQ-SF into Portuguese. These two translations were harmonized, and then checked by independent back-translation by two native English speakers. The harmonized translation was pre-tested in a pilot study on 20 patients...
June 2004: Revista de Saúde Pública
https://www.readbyqxmd.com/read/12808708/uroneurological-assessment-of-spina-bifida-cystica-and-occulta
#7
Ryuji Sakakibara, Takamichi Hattori, Tomoyuki Uchiyama, Koichi Kamura, Tomonori Yamanishi
AIMS: Spina bifida is a rare but well-documented congenital spinal anomaly comprising a cystic form, which appears in infancy, and an occult form, which appears in late childhood and in adulthood. Herein, we report the results of uroneurological assessment in patients with spina bifida cystica and occulta, with respect to diagnosis and management of the disorders. METHODS: We performed a neurological examination, urinary questionnaire, and urodynamic studies in 28 consecutive patients with urinary symptoms, including 16 with the cystic form (nine male and seven female patients, ages 2 to 25 years), all of whom underwent neonatal surgical management, and 12 with occult form (six men and six women, ages 7 to 32 years) diagnosed by myelography and spinal magnetic resonance imaging who did not undergo surgery...
2003: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/11606669/videourodynamic-and-sphincter-motor-unit-potential-analyses-in-parkinson-s-disease-and-multiple-system-atrophy
#8
R Sakakibara, T Hattori, T Uchiyama, T Yamanishi
OBJECTIVES: Urinary dysfunction is a prominent autonomic feature in Parkinson's disease (PD) and multiple system atrophy (MSA), which is not only troublesome but also a cause of morbidity in these disorders. Recent advances in investigative uroneurology offer a better insight into the underlying pathophysiology and appropriate management for urinary dysfunction. METHODS: twenty one patients with PD (15 men, six women, mean age 64 (49-76), mean disease duration 4 years (1-8 years), median Hoehn and Yahr grade 3 (1-4), all taking 300 mg/day of levodopa (100-500 mg)) and 15 with MSA (eight men, seven women, mean age 59 (48-72), mean disease duration 3 years (0...
November 2001: Journal of Neurology, Neurosurgery, and Psychiatry
https://www.readbyqxmd.com/read/11054754/standardization-of-anal-sphincter-electromyography-effect-of-chronic-constipation
#9
S Podnar, D B Vodusek
Severe chronic constipation has been implicated as a cause of damage to the pelvic floor innervation. The aim of the present study was to examine the role of mild to moderate chronic constipation, a condition more relevant for clinical electromyographers, because this complaint is common in patients sent for evaluation of possible neurogenic dysfunction of lower sacral myotomes. A group of 59 subjects without major uroneurological dysfunction, proctological disorders, or neurological abnormalities participated in the study, which involved concentric needle electromyography of the external anal sphincter (EAS)...
November 2000: Muscle & Nerve
https://www.readbyqxmd.com/read/10590417/standardization-of-anal-sphincter-electromyography-uniformity-of-the-muscle
#10
S Podnar, D B Vodusek
The different parts of the external anal sphincter (EAS) are usually regarded as one muscle with common EMG characteristics. This assumption was addressed by comparing the number of continuously firing motor units (MUs) during relaxation, as well as the parameters of motor unit potentials (MUPs) and interference pattern (IP) in the subcutaneous and the deeper parts of EAS. MUPs and IPs were analyzed in 44 subjects (2008 MUPs and 3014 IPs) without uroneurological or proctological disorders, and the number of continuously active MUs in 34 of these subjects was recorded (221 positions)...
January 2000: Muscle & Nerve
https://www.readbyqxmd.com/read/10454288/standardisation-of-anal-sphincter-emg-high-and-low-threshold-motor-units
#11
S Podnar, D B Vodusek
OBJECTIVE: The anal sphincter muscle has a proportion of low threshold motor units (MUs) that are continuously active and other, recruitable high threshold MUs. In standard EMG recordings, motor unit potentials (MUPs) of the later seem to be of higher amplitudes. A quantitative EMG study was performed to assess possible consequences of sampling MUPs at different levels of sphincter activation. METHODS: Fifteen females without uroneurological disorders were studied...
August 1999: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/10086902/standardization-of-anal-sphincter-emg-technique-of-needle-examination
#12
S Podnar, Z Rodi, A Lukanovic, B Trsinar, D B Vodusek
The external anal sphincter (EAS) anatomy is complex, and no exact technique of needle electrode insertion into it for electromyography (EMG) has been described. To define optimal positions for needle electrode insertions, EAS muscle topography was studied by concentric needle EMG. Fifteen women without uroneurological disorders were examined. Perpendicular insertions were made superficially (just under the mucosa) at the mucocutaneous junction, 5 and 10 mm more proximally (toward the anus), and at the anal orifice...
March 1999: Muscle & Nerve
https://www.readbyqxmd.com/read/10081948/neurophysiological-study-of-primary-nocturnal-enuresis
#13
S Podnar, B Trsinar, D B Vodusek
The purpose of this study was to investigate nervous system involvement in primary nocturnal enuresis by using electrophysiological techniques. Nineteen boys with primary nocturnal enuresis and 25 boys without uroneurological abnormalities were included. Data about their psychomotor development, micturition, and defecation were obtained by interviewing the boys and their parents. The penile sensory threshold for electrical stimuli was determined. Single and averaged bulbocavernosus reflex (BCR), and averaged pudendal somatosensory evoked potentials (PSEP) to electrical stimulation, were recorded...
1999: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/9722367/effective-strategies-in-the-management-of-parkinson-s-disease
#14
REVIEW
A J Wills
With the emergence of new pharmacological agents and the resurrection of stereotactic neurosurgery, management of Parkinson's disease has become complex. This article reviews the available and emerging treatments. The value of ancillary services, e.g. physiotherapy, occupational and speech therapy, uroneurology and a multidisciplinary approach are self-evident and will not be discussed.
April 1998: Hospital Medicine
https://www.readbyqxmd.com/read/9344074/a-method-of-uroneurophysiological-investigation-in-children
#15
S Podnar, D B Vodusek, B Trsinar, Z Rodi
Characteristics and reproducibility of bulbocavernosus reflex (BCR) and pudendal somatosensory evoked potentials (PSEP) elicited by mechanical stimulation in children were tested. Twenty-five male children aged 5-14 years without uroneurological complaints were enrolled in the study. In addition to electrical stimulation, a specially constructed electromechanical hammer triggered by an oscilloscope was used for mechanical stimulation of distal penis. All responses were detected by surface electrodes. The latencies and amplitudes of averaged as well as latencies of single BCR on single and double electrical stimuli were determined...
September 1997: Electroencephalography and Clinical Neurophysiology
https://www.readbyqxmd.com/read/7707085/prevalence-of-bowel-dysfunction-in-patients-with-multiple-sclerosis-and-bladder-dysfunction
#16
Y W Chia, C J Fowler, M A Kamm, M M Henry, M C Lemieux, M Swash
Urinary dysfunction is common in cases of multiple sclerosis (MS). The close proximity of those neural pathways which control the bladder to those which control anorectal function might be expected to lead to a high coexistence of bladder and bowel symptoms. Seventy-seven consecutive patients with clinically definite MS attending a uroneurology clinic were interviewed about their bowel function. All patients had clinical evidence of spinal cord disease with varying degrees of impaired mobility and sufficiently severe disturbance of bladder control to seek medical advice...
January 1995: Journal of Neurology
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