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https://www.readbyqxmd.com/read/21048571/urodynamic-evaluation-and-rehabilitation-outcomes-in-transverse-myelitis
#1
Guldal F Nakipoglu, Nese Ozgirgin
OBJECTIVE: To evaluate micturition abnormalities in patients with transverse myelitis (TM) using urodynamic studies, and to record functional outcomes of these patients after the rehabilitation program. METHODS: Forty-six patients with TM who attended the Ankara Physical Medicine and Rehabilitation Education and Research Hospital, Ankara, Turkey between January 2000 and June 2005 were included in the study. Demographic findings of patients were documented. A history and detailed neurological examination was performed on all patients...
January 2009: Neurosciences: the Official Journal of the Pan Arab Union of Neurological Sciences
https://www.readbyqxmd.com/read/16271557/botulinum-toxin-type-a-injections-for-treating-neurogenic-detrusor-overactivity-combined-with-low-compliance-bladder-in-patients-with-spinal-cord-lesions
#2
Jakkrit Klaphajone, Wasuwat Kitisomprayoonkul, Supon Sriplakit
OBJECTIVE: To evaluate botulinum toxin type A (BTX-A) for treating neurogenic detrusor overactivity in patients with spinal cord lesions, including those with abnormally low bladder compliance. DESIGN: Nonrandomized, before-after trial (9-mo follow-up). SETTING: Hospitalized care. PARTICIPANTS: Ten patients with high detrusor contraction pressure and/or poor response to oxyphencyclimine with incontinence selected as a consecutive sample...
November 2005: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/16148670/overnight-catheter-drainage-in-children-with-poorly-compliant-bladders-improves-post-obstructive-diuresis-and-urinary-incontinence
#3
Michael T Nguyen, Christina L Pavlock, Stephen A Zderic, Michael C Carr, Douglas A Canning
PURPOSE: Overnight catheter drainage (OCD) has been suggested as a treatment for boys with valve bladder syndrome as well as those with polyuric renal failure. We report our experience using overnight catheter drainage in children with poorly compliant bladders. MATERIALS AND METHODS: Between 1999 and 2004 OCD was initiated in 6 boys and 5 girls (median age 7.5 years) with poorly compliant bladders in whom aggressive daytime intermittent catheterization and anticholinergic use had failed...
October 2005: Journal of Urology
https://www.readbyqxmd.com/read/14995085/neuropathic-bladder-and-intermittent-catheterization-social-and-psychological-impact-on-families
#4
Malgorzata Borzyskowski, Antony Cox, Melinda Edwards, Amanda Owen
Clean intermittent catheterization (CIC) is the mainstay of management in neuropathic vesicourethral dysfunction, both to improve continence and, more importantly, to preserve renal function. We looked at the effects of this procedure on children, adolescents, and their families. In particular, we wished to see if there were any differences between those who successfully catheterized and those who did not. Forty families were enrolled into the study. Ages of children and adolescents (23 females, 17 males) ranged from 1 to 20 years...
March 2004: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/14758560/long-term-outcome-in-bladder-detrusorectomy-augmentation
#5
R M Lindley, A E Mackinnon, D Shipstone, P R Tophill
BACKGROUND AND OBJECTIVES: Bladder augmentation in children can have significant benefits in terms of continence and social function. In an attempt to overcome the problems associated with using foreign mucosa in the urinary tract, techniques to increase to bladder volume and improve compliance by resecting the detrusor muscle alone have been described. Here we describe our experience using an omental-backed detrusorectomy augmentation and examine possible reasons for a poor outcome observed in some patients in the longer term...
December 2003: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/8326626/early-experience-with-transurethral-electrical-bladder-stimulation
#6
C J Lyne, M F Bellinger
Seventeen patients 2.5 to 20 years old with neurovesical dysfunction (10 myelomeningocele, 2 lipomeningocele, 2 spinal cord injury, 2 primary tethered spinal cord, 1 transverse myelitis) completed a total of 41 series (605 individual sessions) of transurethral electrical bladder stimulation. Ultimately, all patients demonstrated detrusor contraction during therapy, and 88% had sensation of contractions, usually developing later in therapy. Of 12 patients with carefully documented serial urodynamic studies 8 (67%) demonstrated a measurable (14 to 158%) increase in bladder capacity but 3 subsequently had capacities near baseline...
August 1993: Journal of Urology
https://www.readbyqxmd.com/read/2226060/detrusor-external-sphincter-dyssynergia
#7
REVIEW
M B Chancellor, S A Kaplan, J G Blaivas
Detrusor-external sphincter dyssynergia (DESD) is characterized by involuntary contractions of the external urethral sphincter during an involuntary detrusor contraction. It is caused by neurological lesions between the brainstem (pontine micturition centre) and the sacral spinal cord (sacral micturition centre). These include traumatic spinal cord injury, multiple sclerosis, myelodysplasia and other forms of transverse myelitis. There are three main types of DESD. In Type 1 there is a concomitant increase in both detrusor pressure and sphincter EMG activity...
1990: Ciba Foundation Symposium
https://www.readbyqxmd.com/read/1484729/bladder-rehabilitation-with-dorsal-rhizotomy-and-ventral-neuroprosthesis
#8
L S Baskin, R A Schmidt
Two patients with severe neuropathic bladders were successfully treated with selective dorsal rhizotomy in conjunction with a ventral root neuroprosthesis. Both patients achieved stabilization of their renal function, continence, resolution of vesicoureteral reflux, and relief from indwelling urethral catheters. This alternative form of management avoids the complications of other operative approaches.
November 1992: Paraplegia
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