Botox has been subsequently applied in patients with LUTS and there are several reports of Botox treatment in children with detrusor-external sphincter dyssynergia
(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.
Neurologic investigations revealed no abnormality, leading to a diagnosis of Hinman syndrome, a very rare entity characterized by all features of a neurogenic bladder with external sphincter dyssynergia
, but without evidence of any neurologic alteration .
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.
Other conditions, such as recurrent urinary tract infections, detrusor sphincter dyssynergia
(a discoordination between the bladder and urinary sphincter), or other similar abnormality, may benefit from a CIC program.
Different patterns of NB can that can be obtained on UDX testing including detrusor hyperreflexia/ overactivity (DO) which is defined as the urodynamic finding characterized by involuntary detrusor contraction, detrusor hyporeflexia/ areflexia/ acontractility (DA) which is defined as the urodynamic finding characterized by no or weak detrusor contraction, and detrusor sphincter dyssynergia
(DSD) defined as the urodynamic finding characterized by simultaneous contractions of both detrusor and urethral sphincter9-12.
The findings suggest that neurogenic bladder due to neuro-Behcet disease is characterized uro-dynamically by overactive detrusor in storage phase and detrusor sphincter dyssynergia
in voiding phase 12.
It can stabilize chest wall activity and alleviate pleural dyssynergia
in premature neonates, which has been widely used in the early treatment of NRDS.10,11 In addition, NCPAP provides controllable oxygen concentration and airway pressure, which can reduce the incidence of chronic pulmonary diseases and mechanical ventilation.12,13 In this study, PaCO and OI were decreased significantly, and PaO2 and a/AO2 were increased significantly 12 hour after treatment, which had significant differences between the two groups (P<0.05).
In patients with neurogenic disorders, EMG is used to diagnosing detrusor sphincter dyssynergia
Pharmacological treatment of failure to empty (detrusor sphincter dyssynergia
[DSD] and/or detrusor underactivity [DU]) remains a significant problem with insufficient remedy.
Rao, "Digital rectal examination is a useful tool for identifying patients with dyssynergia
," Clinical Gastroenterology and Hepatology, vol.
In our study population, type I dyssynergia
was seen in 48.6%, type II dyssynergia
in 28.4%, type III dyssynergia
in 20.8%, and type IV dyssynergia
in 2.1% of the patients.