Book contents
- Pelvic Organ Dysfunction in Neurological Disease
- Pelvic Organ Dysfunction in Neurological Disease
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Section 1 Neurological control of pelvic organ functions
- Section 2 Evaluation and management
- Chapter 4 Approach and evaluation of neurogenic bladder dysfunction
- Chapter 5 General measures and non-pharmacological approaches
- Chapter 6 Neurogenic bladder dysfunction: pharmacological interventional approaches
- Chapter 7 Neurogenic bladder dysfunction: surgical interventional approaches
- Chapter 8 Approach and evaluation of neurogenic bowel dysfunction
- Chapter 9 Neurogenic bowel management
- Chapeter 10 Evaluation and management of neurogenic sexual dysfunction
- Section 3 Specific conditions
- Appendix 1: Management algorithms
- Appendix 2: Surveys and questionnaires
- Index
Chapter 4 - Approach and evaluation of neurogenic bladder dysfunction
from Section 2 - Evaluation and management
Published online by Cambridge University Press: 06 December 2010
Book contents
- Pelvic Organ Dysfunction in Neurological Disease
- Pelvic Organ Dysfunction in Neurological Disease
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Section 1 Neurological control of pelvic organ functions
- Section 2 Evaluation and management
- Chapter 4 Approach and evaluation of neurogenic bladder dysfunction
- Chapter 5 General measures and non-pharmacological approaches
- Chapter 6 Neurogenic bladder dysfunction: pharmacological interventional approaches
- Chapter 7 Neurogenic bladder dysfunction: surgical interventional approaches
- Chapter 8 Approach and evaluation of neurogenic bowel dysfunction
- Chapter 9 Neurogenic bowel management
- Chapeter 10 Evaluation and management of neurogenic sexual dysfunction
- Section 3 Specific conditions
- Appendix 1: Management algorithms
- Appendix 2: Surveys and questionnaires
- Index
Summary
Lower urinary tract dysfunction (LUTD) can result from a wide range of neurological conditions. This chapter provides the clinician with an approach to neurogenic bladder dysfunction based on the history, physical examination and investigations, in order to optimize patient management and follow-up. Classification helps with understanding the functional disturbances occurring in neurogenic LUTD. Understanding the underlying dysfunction is paramount before starting treatment. History-taking should address potential dysfunction in both the storage and voiding phases of micturition. Several symptom scales have been validated for the evaluation of urinary disorders, but none are specific for neurogenic LUTD. Physical examination should include neurological, urological, gynecological, abdominal and rectal examination. History, bladder diary and clinical examination may not always be sufficient for understanding the nature of LUTD. Urodynamic tests involve functional and dynamic assessment of the lower urinary tract and are used to assess detrusor and bladder outlet function.
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- Information
- Pelvic Organ Dysfunction in Neurological DiseaseClinical Management and Rehabilitation, pp. 61 - 78Publisher: Cambridge University PressPrint publication year: 2010
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