Cystoscopy needles are more often used to deliver the botulinum toxin for the treatment of Neurogenic
Detrusor Overactivity (NDO) and Overactive Bladder (OAB).
Detrusor leak point pressure occurs when the bladder is non-compliant and the pressure increases during the filling phase.
Detrusor 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).
Detrusor 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.