Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction

Utomo, Elaine; Blok, Bertil

doi:10.1002/14651858.cd004927.pub3

Cited by 9 publications

(11 citation statements)

References 49 publications

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“…They showed that after 2 years, the MDP after surgical sphincterotomy was lower than after sphincteric stent prosthesis with an average difference of 30 cmH 2 O. 17 However, there was no difference on the post-void residual volume results and on the bladder compliance between the two techniques, in accordance with our results.…”

Section: Discussionsupporting

confidence: 90%

The maximum detrusor pressure as a predictive factor of success after sphincterotomy in detrusor‐sphincter dyssynergia

Hourie

Nouhaud

Baron

et al. 2018

Neurourology and Urodynamics

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Section: Discussionsupporting

confidence: 90%

The maximum detrusor pressure as a predictive factor of success after sphincterotomy in detrusor‐sphincter dyssynergia

Hourie

Nouhaud

Baron

et al. 2018

Neurourology and Urodynamics

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“…Treatment options include drug therapy, injection of botulinum toxin into the sphincter, clean intermittent catheterization, indwelling catheterization, urethral stenting, sphincterotomy, and reconstructive surgery such as urinary diversion. 25 The goals of therapy are to avoid the need for clean intermittent catheterization in patients who have difficulty with manual dexterity, and to avoid the need for surgical procedures such as sphincterotomy and urinary diversion. The efficacy of urethral stenting is low, and medical management can be limited.…”

Section: ■ Detrusor External Sphincter Dyssynergiamentioning

confidence: 99%

Urologic applications of botulinum toxin

King

Quirouet

Moore

2015

CCJM

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The neuromuscular blocker botulinum toxin has a wide variety of medical applications, including overactive bladder and neurogenic detrusor overactivity in patients in whom drug therapy fails or is not well tolerated. Botulinum toxin therapy for these conditions has been shown to be safe and effective in several large multicenter randomized controlled trials. Off-label uses in urology include detrusor external sphincter dyssynergia and pelvic pain syndromes.

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“…Sufficient contractile strength/duration of detrusor induced by bladder reflex triggering is also required. Sphincterotomy relieves high intravesical pressure from DSD and lessens the risk of upper urinary tract deterioration . This procedure is irreversible in nature and should be carried out after careful consideration, although selected tetraplegic male patients seem to be promising candidates for this procedure.…”

Section: Summary Of the Guidelinesmentioning

confidence: 99%

“…Sphincterotomy relieves high intravesical pressure from DSD and lessens the risk of upper urinary tract deterioration. 55,56 This procedure is irreversible in nature and should be carried out after careful consideration, although selected tetraplegic male patients seem to be promising candidates for this procedure. The complications include insufficient relief of DSD resulting in repeated procedures, hemorrhage and urethrocutaneous fistula.…”

Section: -3 Anti-incontinence Surgeriesmentioning

confidence: 99%

Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury

et al. 2020

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The present article is an abridged English translation of the Japanese clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury updated as of July 2019. The patients are adult spinal cord injured patients with lower urinary tract dysfunction; special consideration of pediatric and elderly populations is presented separately. The target audience is healthcare providers who are engaged in the medical care of patients with spinal cord injury. The mandatory assessment includes medical history, physical examination, frequency‐volume chart, urinalysis, blood chemistry, transabdominal ultrasonography, measurement of post‐void residual urine, uroflowmetry and video‐urodynamic study. Optional assessments include questionnaires on the quality of life, renal scintigraphy and cystourethroscopy. The presence or absence of risk factors for renal damage and symptomatic urinary tract infection affects urinary management, as well as pharmacological treatments. Further treatment is recommended if the maximum conservative treatment fails to improve or prevent renal damage and symptomatic urinary tract infection. In addition, management of urinary incontinence should be considered individually in patients with risk factors for urinary incontinence and decreased quality of life.

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Surgical management of functional bladder outlet obstruction in adults with neurogenic bladder dysfunction

Cited by 9 publications

References 49 publications

The maximum detrusor pressure as a predictive factor of success after sphincterotomy in detrusor‐sphincter dyssynergia

The maximum detrusor pressure as a predictive factor of success after sphincterotomy in detrusor‐sphincter dyssynergia

Urologic applications of botulinum toxin

Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury

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