By Michael B. Chancellor, Ananias C. Diokno
ISBN-10: 3319236865
ISBN-13: 9783319236865
ISBN-10: 3319236873
ISBN-13: 9783319236872
This publication presents updated information on optimum care of the sufferer with an underactive bladder. It covers all facets of administration, together with scientific assessment, urodynamic prognosis, common care, drug remedy, and rising treatment plans. Nursing concerns are broadly mentioned, and recommendation provided at the use of catheters and avoidance of catheter-related issues. extra chapters tackle epidemiology, pathophysiology, animal modeling, and overall healthiness care expenses.
While such a lot practitioners are accustomed to overactive bladder, the speak of underactive bladder has normally remained a long way under the radar. thus, there's nonetheless an absence of empirically established remedies and powerful remedy ideas. it is a subject of outrage, specifically because the burden of the situation is anticipated to upward push in keeping with the getting older of world populations. The Underactive Bladder is a tremendous breakthrough in elevating know-how, exploring top practices in sufferer care, and looking for destiny remedies. it is going to be priceless for urologists, geriatricians, different experts, researchers, and nurses.
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Extra info for The Underactive Bladder
Example text
3 Urodynamics Evaluation of Underactive Bladder 27 European Urology’s UAB working definition is “the underactive bladder is a symptom complex suggestive of detrusor underactivity and is usually characterized by prolonged urination time with or without a sensation of incomplete bladder emptying, usually with hesitancy, reduced sensation on filling, and a slow stream (Chapple et al. ” Ultrasound Measurement This test is performed to measure the amount of urine that is left in a patient’s bladder immediately after the patient made attempt to empty it completely.
Int Urogynecol J Pelvic Floor Dysfunct 16:384–388 Elbadawi A, Yalla SV, Resnick NM (1993) Structural basis of geriatric voiding dysfunction II. Normal versus impaired contractility. J Urol 150:1657–1667 Finkbeiner A, Lapides J (1974) Effect of distension on blood flow in dog’s urinary bladder. Invest Urol 12:210–227 Ignjatovic I (2001) Symptoms & urodynamics after unsuccessful transurethral prostatectomy. C. Diokno Lalli AF, Thornbury JR, Lapides J (1971) Large capacity smooth-walled bladders as an indication of the infrequent voiding syndrome.
However, unless there is compelling evidence that the symptoms and signs are truly underactive as in the case of overt disease such as spinal cord injury to the cauda equina, the symptom/sign complex suggestive of an underactive bladder must be confirmed with urodynamic testing. Urodynamic Tests Uroflowmetry Uroflowmetry is a noninvasive test that measures urine flow rates. Urine flow rates may be measured using a stopwatch, but most commonly, uroflowmetry uses an electronic machine that can record the speed of the urine stream over time, thereby abling to measure maximum peak flow and average flow rate.
The Underactive Bladder by Michael B. Chancellor, Ananias C. Diokno
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