Urology Today.net

Site updated at Thursday, 12 May 2016

Common Urological Problems

Vesicoureteral Reflux

Key Components in Urodynamic Testing of Overactive Bladder

After the decision is made to proceed with urodynamic testing, the next consideration is the type of testing to be conducted. Most current urodynamic machines offer only multiple-channel testing because single-channel testing is prone to considerable artifacts.

In general, because it is difficult to predict for the presence of specific voiding dysfunction in… Key Components in Urodynamic Testing of Overactive Bladder   



Findings in NonNeurogenic Overactive Bladder

Although no clear criteria exist for differentiating neurogenic from idiopathic DO, it has been suggested that unstable bladder contractions occurring as a result of neurological disease may be more likely to result in urge incontinence (17) and have a greater amplitude. Regardless, perhaps the most common urodynamic pattern seen in patients with idiopathic OAB… Findings in NonNeurogenic Overactive Bladder   



Findings in Neurogenic OAB

Patients with neurogenic OAB tend to have severe symptoms that are more difficult to treat pharmacologically. It is not immediately clear that the overactive contractions experienced by patients with neurological conditions are necessarily of greater amplitude or occur earlier during filling, although there is some indirect evidence to support this contention (13). Phasic detrusor… Findings in Neurogenic OAB   



Urodynamic Evaluation of Female Stress Urinary Incontinence

Introduction
The American Urological Association has published guidelines for the surgical management of female stress urinary incontinence (1). According to these guidelines, the objective demonstration of stress urinary incontinence should be documented prior to initiating surgical therapy.  This can be accomplished with physical examination (filling the bladder and observing stress incontinence with cough… Urodynamic Evaluation of Female  Stress Urinary Incontinence   



Bladder Stones

Bladder calculi usually are a manifestation of an underlying pathologic condition, including voiding dysfunction or a foreign body. Voiding dysfunction may be due to a urethral stricture,  benign prostatic hyperplasia,  bladder neck contracture,  or flaccid or spastic neurogenic bladder,  all of which result in static urine.  Foreign bodies such as Foley catheters and forgotten… Bladder Stones   



Little benefit to urinary disease screening in kids

Siblings of a child with a form of urinary reflux may see little benefit from being screened for the disease themselves, despite being at higher risk, a new analysis suggests.

The disease in question is vesicoureteral reflux, or VUR, in which the urine travels backwards from the bladder, causing infections. Approximately 1% of children… Little benefit to urinary disease screening in kids   



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