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https://www.readbyqxmd.com/read/27725995/-objective-and-subjective-requirement-of-aids-and-appliances-in-patients-with-neurogenic-lower-urinary-tract-dysfunction-multicenter-study-to-determinate-the-daily-necessity-of-urological-aids-and-appliances
#1
J Bremer, R Böthig, B Domurath, J Kutzenberger, A Kaufmann, J Pretzer, J P Klask, V Geng, W Vance, I Kurze
BACKGROUND: The provision of urological appliances for patients with neurogenic lower urinary tract dysfunction (NLUTD) is essential. Hitherto existing standard guidelines for the estimation of monthly material requirements are based solely on estimates. OBJECTIVE: The goal of this work was to define the objective and subsequently subjective requirements for urological appliances on a scientifically validated basis. MATERIALS AND METHODS: Data concerning bladder management and daily consumption of urological appliances for patients with NLUTD were collected through a standardized survey at six different centers in Germany during the period of October to December 2014 and statistically evaluated...
October 10, 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27664581/functional-magnetic-resonance-imaging-with-concurrent-urodynamic-testing-identifies-brain-structures-involved-in-micturition-cycle-in-patients-with-multiple-sclerosis
#2
Rose Khavari, Christof Karmonik, Michael Shy, Sophie Fletcher, Timothy Boone
PURPOSE: Neurogenic Lower Urinary Tract Dysfunction (NLUTD) is common in multiple sclerosis (MS) patients with a significant impact on their quality of life. In this study, we seek to discover brain activity processes during the micturition cycle in female patients with MS and NLUTD. MATERIALS AND METHODS: We report brain activity via functional magnetic resonance imaging (fMRI) and simultaneous urodynamic testing (UDS) in twenty-three ambulatory female patients with MS...
September 21, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27596481/preserved-micturition-after-intradetrusor-onabotulinumtoxina-injection-for-treatment-of-neurogenic-bladder-dysfunction-in-parkinson-s-disease
#3
Stephanie C Knüpfer, Susanne A Schneider, Mareike M Averhoff, Carsten M Naumann, Günther Deuschl, Klaus-Peter Jünemann, Moritz F Hamann
BACKGROUND: To assess the efficacy and safety of intradetrusor onabotulinumtoxinA (OnabotA) injection treatment in patients with neurogenic lower urinary tract dysfunction (NLUTD), especially for patients with Parkinson disease (PD). METHODS: PD patients refractory to oral antimuscarinic participated in an off-label use study and were evaluated prior and after 200 IU OnabotA injection into detrusor muscle, including trigone. Changes due to treatment were evaluated using bladder diaries, urodynamics, and questionnaires...
2016: BMC Urology
https://www.readbyqxmd.com/read/26950046/nerve-growth-factor-does-not-seem-to-be-a-biomarker-for-neurogenic-lower-urinary-tract-dysfunction-after-spinal-cord-injury
#4
Jörg Krebs, David Pavlicek, Jivko Stoyanov, Jürgen Pannek, Jens Wöllner
AIM: To prospectively investigate the association of bladder function with the nerve growth factor (NGF) concentration in the urine of individuals with neurogenic lower urinary tract dysfunction (NLUTD) after spinal cord injury (SCI). METHODS: Individuals with chronic SCI and NLUTD presenting for a routine urologic examination at a tertiary urologic referral center were recruited for the study. Patient characteristics, the current bladder evacuation method and urodynamic parameters were collected...
March 7, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/26765476/patients-with-neurogenic-lower-urinary-tract-dysfunction-following-spinal-cord-injury-are-at-increased-risk-of-developing-type-2-diabetes-mellitus-a-population-based-cohort-study
#5
Wei-Chih Lien, Ta-Shen Kuan, Yu-Ching Lin, Fu-Wen Liang, Pei-Chun Hsieh, Chung-Yi Li
To investigate whether patients with neurogenic lower urinary tract dysfunction (NLUTD) following spinal cord injury (SCI) are at increased risk of developing type 2 diabetes mellitus (T2DM).The retrospective cohort study used a subset of the Taiwan National Health Insurance Research Database (NHIRD) comprising information on 2 million beneficiaries randomly sampled from the general population. A total of 3515 patients with newly diagnosed SCI were identified during the period of 2001 to 2008. Among them, 170 developed NLUTD following SCI...
January 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26620878/risk-factors-for-symptomatic-urinary-tract-infections-in-individuals-with-chronic-neurogenic-lower-urinary-tract-dysfunction
#6
J Krebs, J Wöllner, J Pannek
STUDY DESIGN: Retrospective investigation. OBJECTIVES: To investigate the association of patient and injury characteristics, as well as bladder management, with the occurrence of patient-reported, symptomatic urinary tract infection(s) UTI(s) in patients with chronic neurogenic lower urinary tract dysfunction (NLUTD). SETTING: Tertiary urologic referral center. METHODS: The patient database was screened for patients with chronic (>12 months) NLUTD who had presented between 2008 and 2012...
September 2016: Spinal Cord
https://www.readbyqxmd.com/read/26554274/bladder-management-in-individuals-with-chronic-neurogenic-lower-urinary-tract-dysfunction
#7
J Krebs, J Wöllner, J Pannek
STUDY DESIGN: Retrospective investigation. OBJECTIVES: To investigate the association of patient and injury characteristics with bladder evacuation by indwelling catheterization in patients with chronic neurogenic lower urinary tract dysfunction (NLUTD). SETTING: Tertiary urologic referral center. METHODS: The patient database was screened for patients with chronic (>12 months) NLUTD. Patient characteristics and bladder management details were collected...
August 2016: Spinal Cord
https://www.readbyqxmd.com/read/26513149/do-we-need-surveillance-urethro-cystoscopy-in-patients-with-neurogenic-lower-urinary-tract-dysfunction
#8
Ulla Sammer, Matthias Walter, Stephanie C Knüpfer, Ulrich Mehnert, Beata Bode-Lesniewska, Thomas M Kessler
PURPOSE: To examine the value of surveillance urethro-cystoscopy in patients with neurogenic lower urinary tract dysfunction (NLUTD) in regard to the conflicting literature as it is generally agreed that patients with NLUTD are at increased risk for bladder cancer. MATERIALS AND METHODS: In a cross-sectional study, a consecutive series of 129 patients (50 females, 79 males, mean age 51, range 18-88) suffering from NLUTD for at least 5 years was prospectively investigated using urethro-cystoscopy and bladder washing cytology at a single university spinal cord injury (SCI) center...
2015: PloS One
https://www.readbyqxmd.com/read/26503222/initial-experience-with-the-treatment-of-neurogenic-detrusor-overactivity-with-a-new-%C3%AE-3-agonist-mirabegron-in-patients-with-spinal-cord-injury
#9
J Wöllner, J Pannek
STUDY DESIGN: It is a retrospective chart analysis. OBJECTIVES: In patients with neurogenic lower urinary tract dysfunction (NLUTD) due to spinal cord injury (SCI), neurogenic detrusor overactivity (NDO) can cause both deterioration of the upper urinary tract and urinary incontinence. Antimuscarinic treatment is frequently discontinued due to side effects or lack of efficacy, whereas injection of onabotulinumtoxin into the detrusor is a minimally invasive procedure with risks of urinary retention, infection and haematuria...
January 2016: Spinal Cord
https://www.readbyqxmd.com/read/26446581/bladder-emptying-methods-neurogenic-lower-urinary-tract-dysfunction-and-impact-on-quality-of-life-in-people-with-long-term-spinal-cord-injury
#10
Jacinthe J E Adriaansen, Floris W A van Asbeck, Marga Tepper, Willemijn X Faber, Johanna M A Visser-Meily, Laetitia M O de Kort, Marcel W M Post
Objectives To describe bladder-emptying methods used by people with long-term spinal cord injury (SCI) and to determine usage differences in relation to time since injury, sex, lesion level and completeness of lesion. Furthermore, to evaluate the relationship between bladder emptying methods and the impact of neurogenic lower urinary tract dysfunction (NLUTD) on quality of life (QoL). Design Cross-sectional multicenter study. Setting Dutch community. Participants Persons dependent on wheelchairs (N = 282) with traumatic or non-traumatic SCI for ≥10 years and age at injury of 18-35 years...
October 8, 2015: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/26266405/evaluation-and-management-of-neurogenic-bladder-what-is-new-in-china
#11
REVIEW
Limin Liao
Neurogenic bladder (NB) or neurogenic lower urinary tract dysfunction (NLUTD), a dysfunction of the urinary bladder and urethra due to disease of the central nervous system or peripheral nerves, is a major global medical and social problem. Numerous nervous system abnormalities, such as: stroke, Alzheimer's and Parkinson's diseases, traumatic spinal cord injury, spinal cord tumors, congenital spina bifida, and diabetes, can cause NB/NLUTD. There are two major types of bladder control problems associated with NB/NLUTD: the bladder becomes either overactive or underactive depending on the nature, level, and extent of nerve damage...
2015: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/26215913/sacral-neuromodulation-in-patients-with-neurogenic-lower-urinary-tract-dysfunction
#12
J Wöllner, J Krebs, J Pannek
STUDY DESIGN: This is a retrospective chart analysis. OBJECTIVES: The objective of this study was to evaluate the effect of sacral neuromodulation (SNM) in patients with neurogenic lower urinary tract dysfunction (NLUTD). SETTINGS: This study was conducted in a spinal cord injury rehabilitation center in Switzerland. METHODS: The charts of all patients who underwent SNM (testing and/or permanent implantation) because of NLUTD at our institution between 2007 and 2013 were evaluated...
February 2016: Spinal Cord
https://www.readbyqxmd.com/read/26194043/tibial-nerve-stimulation-for-treating-neurogenic-lower-urinary-tract-dysfunction-a-systematic-review
#13
REVIEW
Marc P Schneider, Tobias Gross, Lucas M Bachmann, Bertil F M Blok, David Castro-Diaz, Giulio Del Popolo, Jan Groen, Rizwan Hamid, Gilles Karsenty, Jürgen Pannek, Lisette 't Hoen, Thomas M Kessler
CONTEXT: Tibial nerve stimulation (TNS) is a promising therapy for non-neurogenic lower urinary tract dysfunction and might also be a valuable option for patients with an underlying neurological disorder. OBJECTIVE: We systematically reviewed all available evidence on the efficacy and safety of TNS for treating neurogenic lower urinary tract dysfunction (NLUTD). EVIDENCE ACQUISITION: The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement...
November 2015: European Urology
https://www.readbyqxmd.com/read/26055644/autonomic-dysreflexia-and-repeatability-of-cardiovascular-changes-during-same-session-repeat-urodynamic-investigation-in-women-with-spinal-cord-injury
#14
Matthias Walter, Stephanie C Knüpfer, Lorenz Leitner, Ulrich Mehnert, Martin Schubert, Armin Curt, Thomas M Kessler
PURPOSE: To investigate autonomic dysreflexia (AD) and repeatability of cardiovascular changes during same session repeat urodynamic investigation (UDI) in women with spinal cord injury (SCI). METHODS: Prospective investigation of 33 consecutive women with suprasacral SCI suffering from neurogenic lower urinary tract dysfunction (NLUTD) undergoing same session repeat UDI and synchronous continuous cardiovascular monitoring [systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR)]...
March 2016: World Journal of Urology
https://www.readbyqxmd.com/read/25954993/a-novel-intracerebral-hemorrhage-induced-rat-model-of-neurogenic-voiding-dysfunction-analysis-of-lower-urinary-tract-function
#15
Young-Sam Cho, Il-Gyu Ko, Chang-Ju Kim, Khae-Hawn Kim
Neurogenic lower urinary tract dysfunction (NLUTD) is a major problem in patients with various neurological disorders, and may result in debilitating symptoms and serious complications, including chronic renal failure and recurrent urinary tract infections. Clinically, stroke is associated with voiding dysfunction. However, lower urinary tract function evaluation in an intracerebral hemorrhage (ICH) model has not, to the best of our knowledge, been reported. Therefore, in the present study, lower urinary tract function in ICH-induced rats was investigated and the results were compared with those obtained in normal rats...
August 2015: Molecular Medicine Reports
https://www.readbyqxmd.com/read/25891319/follow-up-of-the-neuro-urological-patient-a-systematic-review
#16
REVIEW
Marcio Augusto Averbeck, Helmut Madersbacher
OBJECTIVES: To systematically review the long-term urological follow-up strategies for patients with neurogenic lower urinary tract dysfunction (NLUTD), focusing on three main groups of neurological diseases: (i) spinal cord injuries, (ii) spinal dysraphism, and (iii) multiple sclerosis. PATIENTS AND METHODS: Data acquisition comprised electronic search on the Medical Literature Analysis and Retrieval System Online (MEDLINE) database and the EMBASE database in August 2014 to retrieve English language studies...
April 2015: BJU International
https://www.readbyqxmd.com/read/25891318/neurogenic-lower-urinary-tract-dysfunction-nlutd-in-patients-with-spinal-cord-injury-long-term-urodynamic-findings
#17
Tim-Friedjof Schöps, Marc P Schneider, Frank Steffen, Benjamin V Ineichen, Ulrich Mehnert, Thomas M Kessler
OBJECTIVES: To investigate long-term urodynamic findings in patients with spinal cord injury (SCI) with neurogenic lower urinary tract dysfunction (NLUTD). PATIENTS AND METHODS: A consecutive series of 246 patients with SCI (≥5 years since injury) and NLUTD were prospectively evaluated at a single university SCI centre. Data of the latest and earliest available urodynamic investigation were compared. RESULTS: Most of the patients had a thoracic SCI and American Spinal Injury Association (ASIA) impairment scale of A...
April 2015: BJU International
https://www.readbyqxmd.com/read/25644391/urethral-strictures-in-men-with-neurogenic-lower-urinary-tract-dysfunction-using-intermittent-catheterization-for-bladder-evacuation
#18
J Krebs, J Wöllner, J Pannek
STUDY DESIGN: Retrospective investigation. OBJECTIVES: To investigate the occurrence, characteristics and clinical consequences of urethral strictures in men with neurogenic lower urinary tract dysfunction (NLUTD) using intermittent catheterization (IC) for bladder evacuation. SETTING: Spinal cord injury rehabilitation center. METHODS: The patient database was screened for men with NLUTD who had presented for a routine video-urodynamic investigation between 2008 and 2012...
April 2015: Spinal Cord
https://www.readbyqxmd.com/read/25582564/electrical-stimulation-for-the-treatment-of-lower-urinary-tract-dysfunction-after-spinal-cord-injury
#19
REVIEW
Meredith J McGee, Cindy L Amundsen, Warren M Grill
Electrical stimulation for bladder control is an alternative to traditional methods of treating neurogenic lower urinary tract dysfunction (NLUTD) resulting from spinal cord injury (SCI). In this review, we systematically discuss the neurophysiology of bladder dysfunction following SCI and the applications of electrical stimulation for bladder control following SCI, spanning from historic clinical approaches to recent pre-clinical studies that offer promising new strategies that may improve the feasibility and success of electrical stimulation therapy in patients with SCI...
March 2015: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/25562035/aerobic-exercise-alleviates-ischemia-induced-memory-impairment-by-enhancing-cell-proliferation-and-suppressing-neuronal-apoptosis-in-hippocampus
#20
Tae-Beom Seo, Tae-Woon Kim, Mal-Soon Shin, Eun-Sang Ji, Han-Sam Cho, Jae-Min Lee, Tae-Wook Kim, Chang-Ju Kim
PURPOSE: Neurogenic lower urinary tract dysfunction (NLUTD) is a possible consequence of several neurological disorders. NLUTD may produce debilitating symptoms and serious complications, such as chronic renal failure, and recurrent urinary tract infections. Many animal studies of NLUTD symptoms have focused on animal models of cerebral ischemia. In the present study, we investigated the effects of treadmill exercise on memory function and its relation to cell proliferation and apoptosis in the hippocampus, following transient global ischemia in gerbils...
December 2014: International Neurourology Journal
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