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Atonic Neurogenic Bladder


Presentation

  • From animal model studies to surgical techniques as well as successful case reports, six kinds of surgery are presented in separate chapters.[books.google.com]
  • Each topic is presented in a concise, focused, and well-illustrated format featuring a description of the condition, discussion of symptoms, examination findings, functional limitations, and diagnostic testing.[books.google.de]
  • If someone is experiencing any of the atonic bladder symptoms described above and the condition is suspected, usually tests will be conducted that can help present a better picture of what is happening with the bladder.[belmarrahealth.com]
  • (27.5%) presented with low back pain and bilateral sciatica (12 in Group I, 10 in Group II). 35 patients (43.75%, 12 in Group I, 23 in Group II) presented with urological symptoms, and all of them had more than one symptom.[urotoday.com]
  • Among others, such cases are patients with multiple sclerosis, Parkinson's disease or spinal injury presenting urinary incontinence or inability to urinate.[imop.gr]
Anemia
  • […] bladder to the spinal cord , marked by absence of control of bladder functions and of desire to urinate , bladder overdistention, and an abnormal amount of residual urine ; it is most often associated with tabes dorsalis ("tabetic bladder ") or pernicious anemia[ndif.org]
  • […] of sensory nerve fibers from the bladder to the spinal cord, with absence of control of bladder functions and of desire to urinate, bladder overdistention, and an abnormal amount of residual urine; usually associated with tabes dorsalis or pernicious anemia[medical-dictionary.thefreedictionary.com]
Collapse
  • The bladder is composed of an internal epithelium surrounded by a coat of smooth muscle running in both circular and longitudinal directions, contraction of which causes complete collapse of the bag-like shape.[medical-dictionary.thefreedictionary.com]
Hirsutism
  • Jagger, Richards Bladder Cystourethritis, frequency/urgency, stress incontinence Breasts Size, softer consistency, sagging Cardiovascular Angina, ASHD, CAD Endocrine Hot flashes Mucocutaneous Atrophy, dryness, pruritus, facial hirsutism, dry mouth Neurologic[medical-dictionary.thefreedictionary.com]
Musculoskeletal Pain
  • Practical, clinically relevant material facilitates the diagnosis and treatment of musculoskeletal, pain, and chronic disabling conditions.[books.google.de]
Osteoporosis
  • Breasts Size, softer consistency, sagging Cardiovascular Angina, ASHD, CAD Endocrine Hot flashes Mucocutaneous Atrophy, dryness, pruritus, facial hirsutism, dry mouth Neurologic Psychological, sleep disturbances Pelvic floor Uterovaginal prolapse Skeleton Osteoporosis[medical-dictionary.thefreedictionary.com]
Withdrawn
  • , Trial Phase, Sponsor Type and End point status The report reviews top companies involved and enlists all trials (Trial title, Phase, and Status) pertaining to the company The report provides all the unaccomplished trials (Terminated, Suspended and Withdrawn[rxtimes.com]
Sleep Disturbance
  • disturbances Pelvic floor Uterovaginal prolapse Skeleton Osteoporosis, fractures, low back pain Vagina Bloody discharge, dyspareunia, vaginitis Vocal cords Deepened voice Vulva Atrophy, dystrophy, pruritus blad·der ( blad'ĕr ) [TA] 1.[medical-dictionary.thefreedictionary.com]
  • Some patients with IPD also experience sleep disturbances and nocturnal polyuria.[ajmc.com]
Thalamic Pain
  • Get a broader perspective on your field from new chapters on Labral Tears of the Shoulder and Hip, Pubalgia, Chondral Injuries, Central Post-Stroke Pain (Thalamic Pain Syndrome), Chemotherapy-induced Peripheral Neuropathy, Radiation Fibrosis Syndrome,[books.google.de]
Dystonia
  • Stay current with expanded and updated coverage of diagnosis, management and rehabilitation of Cervical Dystonia, Suprascapular Neuropathy, Epicondylitis, Temporomandibular Joint Pain, Spinal Cord Injury, Stroke, Adhesive Capsulitis of the Hip, and Adductor[books.google.de]
Urinary Incontinence
  • Some common ones are Cystitis - inflammation of the bladder, often from an infection Urinary incontinence - loss of bladder control Overactive bladder - a condition in which the bladder squeezes urine out at the wrong time Interstitial cystitis - a chronic[icdlist.com]
  • incontinence Overflow Reflex Urge } } } incontinence Excludes: enuresis NOS ( R32 ) urinary incontinence (of): · NOS ( R32 ) · nonorganic origin ( F98.0 ) N39.8 Other specified disorders of urinary system N39.9 Disorder of urinary system, unspecified[apps.who.int]
  • Losing normal bladder function is disabling and may lead to urinary tract deterioration, urinary incontinence, and reduced quality of life.[ajmc.com]
  • Male Stress Urinary Incontinence surgery Female Stress Urinary Incontinence PHARMACEUTICAL TREATMENT Your doctor may prescribe medications to improve bladder function, such as reduce bladder contractions, lower urinary frequency, improve loss of bladder[nafc.org]
  • Among others, such cases are patients with multiple sclerosis, Parkinson's disease or spinal injury presenting urinary incontinence or inability to urinate.[imop.gr]
Urinary Retention
  • Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases) Urine drainage bags Urostomy - stoma and skin care Voiding cystourethrogram [ Read More ][icdlist.com]
  • Include: Incontinence Overactive bladder Urinary retention May also have signs and symptoms of UTI. Patients with spinal cord injury are less likely to have typical symptoms of UTI.[rnoh.nhs.uk]
  • Used in short term urinary retention (surgery, childbirth) *may be used in combo w/ bladder training technique to promote complete emptying of neurogenic bladder ((parasympathetic blockers)) *relax detrusor muscle & contract internal sphincter, increasing[quizlet.com]
  • retention) Medicines may help manage your symptoms.[medlineplus.gov]
Overflow Incontinence
  • Neurogenic or atonic bladder signs with a flaccid bladder involve overflow incontinence . People retain urine and have constant overflow dribbling. Many men also suffer from erectile dysfunction.[belmarrahealth.com]
  • Presentation [ 3 ] Overflow incontinence is the primary symptom in patients with a flaccid or spastic bladder. Patients retain urine and have constant overflow dribbling. Men typically also have erectile dysfunction.[patient.info]
  • Stress incontinence may be treated with surgical and some non-surgical approaches Urge incontinence may be treated with behavioral modification, pharmacotherapy, or third-line procedures Mixed incontinence may require medications as well as surgery Overflow[emedicine.medscape.com]

Workup

  • Absorbent products are helpful during the initial assessment and workup of urinary incontinence. As an adjunct to behavioral and pharmacologic therapies, they play an important role in the care of persons with intractable incontinence.[emedicine.medscape.com]
Nephrolithiasis
  • […] antagonist) or oxybutynin (Ditropan) and external collection of urine detrusor hyperreflexia with sphincter areflexia is a rare disorder seen in myelomeningocoele and sacral cord lesions; this will result in urinary tract infections, hydronephrosis, and nephrolithiasis[prod.wiki.cns.org]

Treatment

  • Practical, clinically relevant material facilitates the diagnosis and treatment of musculoskeletal, pain, and chronic disabling conditions.[books.google.de]
  • Lastly, there is a behavioral treatment called delayed voiding. Basically, people can try training their bladder by going to the washroom at scheduled times only throughout the day.[belmarrahealth.com]
  • This treatment is delivered under anesthesia. You doctor uses a special scope to view the inside of your bladder. A doctor will likely recommend you incorporate at-home treatments into your overall treatment plan.[healthline.com]
  • Other treatments involve creation of a stoma that is continent and readily accepts a catheter. These are known as Mitrofanoff mechanisms. An example of this treatment is the creation of an Indiana pouch.[en.wikipedia.org]
  • Medical Treatments When behavioral treatments alone aren’t working well, drugs may be prescribed. Some drugs are used to relax overactive bladder muscles. These may be taken by mouth or delivered through the skin (with a gel or a patch).[urologyhealth.org]

Prognosis

  • Prognosis Prognosis is good if the disorder is diagnosed and treated before kidneys are damaged. But it will lead to a significant impact on the lives of patients and carers.[patient.info]

Etiology

  • Depending on the etiology, various techniques can be employed to maintain renal function and prevent urinary tract infections. Self catheterization, medication or surgical interventions including cystoplasty or sphincterotomy can be employed.[radiopaedia.org]
  • The full etiology of this syndrome is unclear. However, it is known today that urinary disorders may precede months or even years before the diagnosis of a neurological disease.[imop.gr]

Epidemiology

  • Because of its significant effects on quality of life, it is important to reassess the epidemiology and physiology of neurogenic bladder, its diagnosis and assessment, and the impact of the symptoms and complications associated with it to better manage[ajmc.com]
Sex distribution
Age distribution

Pathophysiology

  • Article / Publication Details First-Page Preview Abstract The anatomy of the bladder outlet and the pathophysiology of urinary stress incontinence in the female patient is reviewed.[karger.com]
  • Neurogenic bladder pathophysiology bladder filling/emptying controlled by CNS. Control can be disrupted in: *Cerebral cortex voluntary impulses.[quizlet.com]
  • A clinical and pathophysiological study. Gastroenterology 56 , 1021–1032 (1969) Google Scholar 23. Drewes, V. M.: The small intestine in diabetes mellitus. Copenhagen: Munksgaard 1971 Google Scholar 24. Ewing, D. J., Campbell, I. W., Burt, A.[link.springer.com]
  • Pathophysiology The image above shows the innervation of the bladder. Reproduced from Neurogenic Bladder. Caring for Persons with Spinal Cord Injury - e-learning resource for family physicians. Ontario Neurotrauma Foundation.[rnoh.nhs.uk]

Prevention

  • Develop a thorough, clinically relevant understanding of interventions such as physical agents and therapeutic exercise in the prevention, diagnosis, treatment, and rehabilitation of disorders that produce pain, impairment, and disability.[books.google.de]
  • Sometimes, spasms prevent the bladder from completely emptying. There are other neurogenic bladder symptoms, but not everyone will experience them.[belmarrahealth.com]
  • The collection bag should be placed below the incision level so that gravity prevents urine from backing up into your bladder and situated so that the tube does not become kinked.[multiplesystematrophy.org]
  • Treatment Treatment is aimed at enabling the bladder to empty completely and regularly, preventing infection, controlling incontinence, and preserving kidney function.[healthcentral.com]

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