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Management options for sphincteric deficiency in adults with neurogenic bladder

Neurogenic bladder is a very broad disease definition that encompasses varied disease and injury states affecting the bladder. The majority of patients with neurogenic bladder dysfunction do not have concomitant intrinsic sphincteric deficiency (ISD), but when this occurs the challenges of managemen...

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Detalles Bibliográficos
Autores principales: Myers, Jeremy B., Mayer, Erik N., Lenherr, Sara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739985/
https://www.ncbi.nlm.nih.gov/pubmed/26904420
http://dx.doi.org/10.3978/j.issn.2223-4683.2015.12.11
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author Myers, Jeremy B.
Mayer, Erik N.
Lenherr, Sara
author_facet Myers, Jeremy B.
Mayer, Erik N.
Lenherr, Sara
author_sort Myers, Jeremy B.
collection PubMed
description Neurogenic bladder is a very broad disease definition that encompasses varied disease and injury states affecting the bladder. The majority of patients with neurogenic bladder dysfunction do not have concomitant intrinsic sphincteric deficiency (ISD), but when this occurs the challenges of management of urinary incontinence from neurogenic bladder are compounded. There are no guidelines for surgical correction of ISD in adults and most of the literature on treatment of the problem comes from treatment of children with congenital diseases, such as myelomeningocele. Our goal, in this review, is to present some of the common surgical options for ISD [including artificial urinary sphincters, bladder slings, bladder neck reconstruction (BNR) and urethral bulking agents] and the evidence underlying these treatments in adults with neurogenic bladder.
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spelling pubmed-47399852016-02-22 Management options for sphincteric deficiency in adults with neurogenic bladder Myers, Jeremy B. Mayer, Erik N. Lenherr, Sara Transl Androl Urol Review Article Neurogenic bladder is a very broad disease definition that encompasses varied disease and injury states affecting the bladder. The majority of patients with neurogenic bladder dysfunction do not have concomitant intrinsic sphincteric deficiency (ISD), but when this occurs the challenges of management of urinary incontinence from neurogenic bladder are compounded. There are no guidelines for surgical correction of ISD in adults and most of the literature on treatment of the problem comes from treatment of children with congenital diseases, such as myelomeningocele. Our goal, in this review, is to present some of the common surgical options for ISD [including artificial urinary sphincters, bladder slings, bladder neck reconstruction (BNR) and urethral bulking agents] and the evidence underlying these treatments in adults with neurogenic bladder. AME Publishing Company 2016-02 /pmc/articles/PMC4739985/ /pubmed/26904420 http://dx.doi.org/10.3978/j.issn.2223-4683.2015.12.11 Text en 2016 Translational Andrology and Urology. All rights reserved.
spellingShingle Review Article
Myers, Jeremy B.
Mayer, Erik N.
Lenherr, Sara
Management options for sphincteric deficiency in adults with neurogenic bladder
title Management options for sphincteric deficiency in adults with neurogenic bladder
title_full Management options for sphincteric deficiency in adults with neurogenic bladder
title_fullStr Management options for sphincteric deficiency in adults with neurogenic bladder
title_full_unstemmed Management options for sphincteric deficiency in adults with neurogenic bladder
title_short Management options for sphincteric deficiency in adults with neurogenic bladder
title_sort management options for sphincteric deficiency in adults with neurogenic bladder
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4739985/
https://www.ncbi.nlm.nih.gov/pubmed/26904420
http://dx.doi.org/10.3978/j.issn.2223-4683.2015.12.11
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