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The diagnosis of neurogenic bladder is made based on a complete history and physical examination and may require imaging and specialized studies. History should include information on the onset, duration, triggers, severity, other medical conditions and medications (including anticholinergics , calcium channel blockers , diuretics, sedatives ...
Urodynamic testing or urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests can help explain symptoms such as: incontinence [1] frequent urination; sudden, strong urges to urinate but nothing comes out; problems starting a urine stream; painful urination
596 Other disorders of bladder. 596.0 Bladder neck obstruction; 596.4 Atony of bladder; 596.5 Other functional disorders of bladder. 596.51 Bladder hypertonicity; 596.52 Bladder compliance, low; 596.54 Neurogenic bladder, NOS; 596.55 Detrusor sphincter dyssynergia; 597 Urethritis, not sexually transmitted, and urethral syndrome. 597.81 Urethral ...
Urinalysis is commonly used to help diagnose urinary tract infections, but the significance of the results depends on the broader clinical situation. [13] In the setting of UTI symptoms, positive dipstick results for nitrite and leukocyte esterase are strongly suggestive of a UTI, [ 138 ] [ 139 ] but negative results do not rule it out if there ...
The high prevalence of WBCs and positive bacterial cultures in the asymptomatic control population raises questions about the clinical usefulness of the standard Meares–Stamey four-glass test as a diagnostic tool in men with CP/CPPS. [37] By 2000, the use of the four-glass test by American urologists was rare, with only 4% using it regularly ...
Cystoscopy has similar indications in animals, including visualisation and biopsy of mucosa, retrieval or destruction of urinary bladder stones and diagnosis of ectopic ureters. [ 9 ] [ 10 ] [ 11 ] In turtle and tortoises, cystoscopy has additional value as it permits the visualisation of internal organs due to the thin urinary bladder wall. [ 12 ]
Bladder sphincter dyssynergia (also known as detrusor sphincter dyssynergia (DSD) (the ICS standard terminology agreed 1998) [1] and neurogenic detrusor overactivity (NDO)) is a consequence of a neurological pathology such as spinal injury [2] or multiple sclerosis [3] which disrupts central nervous system regulation of the micturition (urination) reflex resulting in dyscoordination of the ...
Weak bladder muscles, resulting in incomplete emptying of the bladder, or a blocked urethra can cause this type of incontinence. Autonomic neuropathy from diabetes or other diseases (e.g. Multiple sclerosis ) can decrease neural signals from the bladder (allowing for overfilling) and may also decrease the expulsion of urine by the detrusor ...