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[Neurogenic urinary incontinence: current treatment concepts]
1Urologische Universitätsklinik Innsbruck.
Der Urologe. Ausg. A
|July 1, 1990
Summary
Neurogenic urinary incontinence, caused by bladder or sphincter issues, requires tailored treatments. Current strategies focus on achieving adequate bladder emptying and urinary continence through pharmacologic and surgical interventions.
Area of Science:
- Urology
- Neuroscience
- Medical Engineering
Context:
- Neurogenic urinary tract dysfunction presents challenges in bladder emptying and urinary continence.
- Understanding the urodynamic classification is crucial for effective treatment.
- Current therapeutic approaches aim to restore normal bladder function and continence.
Purpose:
- To present current treatment strategies for neurogenic urinary incontinence based on urodynamic classification.
- To outline pharmacologic and surgical options for managing detrusor hyperreflexia and sphincter dysfunction.
- To provide an overview of interventions for complex cases combining detrusor and sphincter abnormalities.
Summary:
- Detrusor hyperreflexia can be managed pharmacologically, with sacral nerve stimulation or bladder augmentation as alternatives if conservative measures fail.
- Sphincter hypo- or areflexia necessitates surgical intervention, such as hydraulic sphincter implantation or colposuspension, to achieve continence.
- Combined detrusor and sphincter dysfunction requires individualized treatment plans addressing both components.
Impact:
- Provides a framework for clinicians to select appropriate treatments for various types of neurogenic urinary incontinence.
- Highlights the importance of urodynamic assessment in guiding therapeutic decisions.
- Offers insights into advanced surgical techniques and their role in managing complex neurogenic bladder conditions.