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Bladder Sphincter Dyssynergia is also known as Neurogenic Detrusor Overactivity . The ataxia or neurogenic overactivity is observe in patients espouse neurological trauma or damage most often triggered by spinal injury . The vesica reflex is modulate by psyche , Lily Pons and spinal cord . The impulse are carried to and from bladder by sympathetic or autonomic nerves . In this clause , we will discuss about the various look of Bladder Sphincter Dyssynergia .
How Is Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity Defined?
Causes of Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
Symptoms Of Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
Specific Bladder Sphincter Dyssynergia Symptoms:
Associated Symptoms of Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
Diagnosis of Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
Cystoscopy for Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
Urodynamic Study3for Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
CT Scan- Radiological report is do to evaluate the cerebral ( brain ) , brain stem and spinal corduroy abnormality as a cause of the vesica sphincter muscle dyssynergia .
Magnetic Resonance Imaging (MRI) for Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
It is often used as substitute to CT scan .
Ultrasound for Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
The Procedure is performed to measure the international urinary vesica wall and urethra .
Nerve Conduction Study for Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
Treatment For Bladder Sphincter Dyssynergia or Neurogenic Detrusor Overactivity
There are a large number of somebody with Bladder Sphincter Dyssynergia who need repeat surgery as described in literatures .
A discipline was conducted on about 20 females who were diagnose with multiple sclerosis and had Bladder Sphincter Dyssynergia and were treat with baclofen at 15 mg a day and Cardura 4 mg per day . Around 8 individual also were given tolterodine at 4 mg per day along with baclofen and doxazosin as they were identified to have detrusor hyperreflexia .
After intervention with the above - note medications , it was found that these medications were helpful in process Bladder Sphincter Dyssynergia .
References :
1 . Detrusor - sphincter motor ataxia .
Barsanti JA1 , Coates JR , Bartges JW , Brown SA , Oliver JE , Finco DR .
Vet Clin North Am Small Anim Pract . 1996 Mar;26(2):327 - 38 .
2 . Causes of urinary incontinence after acute hemispheric fortuity .
Gelber DA1 , Good DC , Laven LJ , Verhulst SJ .
Stroke . 1993 Mar;24(3):378 - 82 .
3 . Urodynamic biofeedback : a unexampled therapeutic approach for childhood incontinence / transmission ( vesical voluntary sphincter dyssynergia ) .
Sugar EC , Firlit CF .
J Urol . 1982 Dec;128(6):1253 - 8 .
4 . curative outcome and timber of life between urethral and detrusor botulinum toxin treatment for patients with spinal cord lesions and detrusor sphincter dyssynergia .
Kuo HC .
Int J Clin Pract . 2013 Oct;67(10):1044 - 9 .
5 . Transurethral surgical incision of the vesica neck to do by bladder neck opening disfunction and voiding dysfunction in patient role with high - level spinal cord injuries .
Ke QS1 , Kuo HC .
Neurourol Urodyn . 2010 Jun;29(5):748 - 52 .
