Cystoscopy needles are more often used to deliver the botulinum toxin for the treatment of Neurogenic Detrusor
Overactivity (NDO) and Overactive Bladder (OAB).
leak point pressure occurs when the bladder is non-compliant and the pressure increases during the filling phase.
contractions and related leakages were recorded.
Patients with neurologic disorders such as spinal cord injury, spina bifida and multiple sclerosis may suffer from neurogenic detrusor
overactivity (NDO) or low bladder compliance.
(6-8) The main urodynamic findings in patients with urinary dysfunction associated with HTLV-1 are overactivity of the detrusor
, sphincter-detrusor dyssynergia, and impaired bladder contractility (8,9) As only few studies have addressed the treatment of such events in this population, it remains undefined if the therapeutic interventions used in individuals not infected with HTLV-1 have the same response in those infected by the virus.
The superior and lateral attachments of this mass were easily dissected free; however the mass was densely adherent to the detrusor
muscle (Figure 2).
over-activity (DO) is a urodynamic symptom characterized by involuntary detrusor
contractions during the filling phase, which may be spontaneous or provoked (1).
The use of BoNT injections on the external urinary sphincter in patients with detrusor
sphincter dyssynergia (DSD) who had spinal cord injury (SCI) was first diagnosed by Dykstra (8) in 1988.
Practical functional urology will help urologists, gynecologists, and surgeons to diagnose and treat functional disorders which were previously less understood, including overactive bladder, detrusor
underactivity, painful bladder syndrome/interstitial cystitis, prostatitis, stress urinary incontinence, including urinary tract infections, and urethral disorders.
In this study, detrusor
activity, bladder sensation, bladder capacity, bladder compliance, urethral function, maximum bladder capacity, Pves max (maximum intravesical pressure), Pabd max (maximum abdominal pressure), and Pdet max (maximum detrusor
pressure) were recorded in the filling phase.
Sympathetic activity increases bladder sphincter tone and inhibits detrusor
activity, while the parasympathetic nervous system increases detrusor
activity and decreases sphincter tone to aid in voiding.