Neurologic urinary incontinence

Abstract

Introduction: This manuscript summarizes the work of Committee 10 on neurologic bladder and bowel of the International Consultation on Incontinence in [2008][2009]. As the data are very large the outcome is presented in different manuscripts. This manuscript deals with neurologic urinary incontinence. Methods: Through in debt literature review all aspects of neurological urinary incontinence were studied for levels of evidence. Recommendations for diagnosis and treatment, and for future research were made. Results: Pathophysiology was summarized for different levels of lesions. For epidemiology, specific diagnostics, conservative treatment and surgical treatment of neurologic urinary incontinence, levels of evidence and grades of recommendation were made following ICUD criteria. Conclusions: Though data are available that advice and guide in the management of urinary incontinence in neurologic patients, not many data have a high level of evidence or permit a high grade of recommendation. More and well-structured research is needed. Neurourol. Urodynam. 29:159-164, 2010.

Intraperitoneal Bladder Perforation Due to Clean Intermittent Catheterization: A Case Report and Literature Review

“…TAK'nın idrar yolu enfeksiyonları başta olmak üzere, üretral travma, üretral kanama, üretral fistül, mesane boynu yetersizliği gelişimi, sfinkter erozyonu, mesane taşları, mesane kanseri ve alerji olarak gibi çeşitli komplikasyonlar ile ilişkili olduğu gösterilmiştir [5,6] . [7] .…”

“…[7] . Ancak TAK yapan hastalarda semptomatik olmadığı sürece asemptomatik bakterirürinin antibiyotik kullanımı gerektirmediği, uzun vadeli antibiyotik kullanımının ise bakteriyel direnç gelişi-mini arttırdığı belirtilmiştir [5][6][7] . Yine geçmiş yıllarda yapılan birçok çalışmada profilaktik antibiyotik kullanımının bakteriüri sıklığını değiştirmediği vurgulanmıştır.…”

Best practices for the treatment and prevention of urinary tract infection in the spinal cord injured population

“…8 However, the EAU Guidelines 9 state that sterile IC significantly reduces the risk of UTI and/or bacteriuria compared with clean IC. [10][11][12] Although Wyndaele is quoted as stating, "Based on the current data, it is not possible to state that one catheter method is better than another and further research on the topic is strongly recommended." 10 Guttmann is clearly in favour of sterile IC based on in-patient research with the endpoint of urine sterility on discharge from hospital.…”

“…[10][11][12] Although Wyndaele is quoted as stating, "Based on the current data, it is not possible to state that one catheter method is better than another and further research on the topic is strongly recommended." 10 Guttmann is clearly in favour of sterile IC based on in-patient research with the endpoint of urine sterility on discharge from hospital. 12 It must be noted, however, that until recently, studies on NLUTD were limited by sample size, sample heterogeneity and imprecise outcome measures, particularly with respect to defining UTI.…”

Decreased inflammatory response in rat bladder after intravesical administration of capsaicin-loaded liposomes

“…Bladder anatomy allows the drug solution to be directly instilled via a catheter (Barthelmes et al 2011, Lee et al 2011). However, this treatment often causes local irritation and edema due to its effects on unmyelinated sensory afferent fibers, which are believed to signal pain and initiate inflammatory responses (Meel and Wyndaele 2012, Wyndaele et al 2010, Cipullo et al 2014. Alternative formulations have been proposed in order to minimize these side effects.…”