1) When this condition is associated with
detrusor overactivity (DO), defined by the International Continence Society as the urodynamic observation of involuntary
detrusor contractions during the cystometry phase which may be spontaneous or provoked, the condition is known as
detrusor overactivity incontinence (DOI).
Detrusor overactivity and urge incontinence following surgery.
However, intermittent self-catheterization was still required for
detrusor hyperreflexia.
Durante la fase de llenado la vejiga tiene la capacidad de distenderse progresivamente (complacencia normal) sin aumentar la presion dentro de ella y sin presentar ningun tipo de contraccion (vejiga estable), hasta cuando se alcanza la capacidad funcional (edad+2 = onzas), momento en el que el individuo siente el deseo de orinar, y se presenta la fase de vaciado, al contraer el musculo
detrusor (hasta 40 ml de [H.
Older antimuscarinic drugs lack selectivity for the M3 receptor, which regulates
detrusor muscle function, and often cause collateral blockade of central muscarinic M1 receptors, with resultant cognitive impairment and sleepiness, explained Dr.
Among 16 children with areflexic bladder, average bladder capacity reportedly increased from 72 mL to 210 mL and the
detrusor became contractile in 13 of the patients.
Joy and Johnston (2001) suggest that 90% of people with MS experience bladder dysfunction at some point;
detrusor hyperreflexia,
detrusor sphincter dyssynergia, and
detrusor areflexia are the three most common types.
Results from
detrusor muscle underactivity, bladder outlet obstruction, or both.
genuine stress incontinence rather than urodynamic stress incontinence,
detrusor instability rather than
detrusor overactivity), but none of these are likely to matter too much.
Botox has also been studied in
detrusor sphincter dyssynergia (DSD), which causes urinary urgency, frequency, incontinence, difficulties emptying the bladder, and urinary infections in people with MS.
A flaccid anal sphincter may indicate poor
detrusor muscle function.
