Details

Consultation in Neurourology

A Practical Evidence-Based Guide

von: Jacques Corcos, Mikolaj Przydacz
96,29 €
Verlag:	Springer
Format:	PDF
Veröffentl.:	02.10.2017
ISBN/EAN:	9783319639109
Sprache:	englisch

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Beschreibungen

Titelbeschreibung

This book is aimed to bring the reader into the heart of the action of any health professional consulted for a patient with a neurogenic bladder (NB). Extensive textbooks of the NB exist but there is a lack of an actual practical guide for diagnosis and management of patients suffering from NB. This book provides a single source of information on consultation in neurourology. The text covers both urinary incontinence and retention resulting from NB dysfunction. The book also discusses complications of NB which include urinary tract infections, hydronephrosis, renal failure or autonomic dysreflexia. Sections address these clinical issues faced by physicians. This book provides a useful guide with comprehensive and practical instructions for all practitioners dealing with NB in their day-to-day clinical practice. It will serve as a valuable resource for those with a special interest in NB. The book reviews new data about diagnostic and management options. It also provides a concise yet comprehensive summary of the current NB guidelines from different societies. All chapters include the most up to date scientific and clinical information with the relevant level of clinical evidence and grade of recommendation.

Inhaltsverzeichnis

Table of Contents Foreword(s) Preface Part I INTRODUCTION Chapter 1 Book Presentation with Overview of Bladder Physiology Book Presentation Organization of Summaries and Recommendations Overview of the Physiology of Lower Urinary Tract Chapter 2 Neurogenic Bladder Pathophysiology Introduction Neurogenic Detrusor Overactivity Neurogenic Detrusor Underactivity Detrusor-Sphincter Dyssynergia Neurogenic Sphincter Deficiency Conclusion Chapter 3 Pathologies Responsible for the Development of the Neurogenic Bladder Introduction Traumatic Entities and their Neuro-Urological Consequences Head Injury Spinal Cord Injury< Spinal shock Suprasacral injury Sacral injury Spinal cord injury and bladder behaviour – general overview Non-Traumatic Entities and Their Neuro-Urological Consequences Suprapontine Lesion (Brain) Cerebrovascular accident Degeneration (Parkinsonian syndrome, Dementia) Brain Tumors Cerebral Palsy Infrapontine-Suprasacral Lesion (Spinal Cord) Demyelination (Multiple sclerosis, Transverse myelitis) Spina Bifida Sacral-Infrasacral Lesion (Spinal Cord and Peripheral Nervous System) Intervertebral Disk Prolapse Peripheral Neuropathies (Diabetes, Iatrogenic causes) Conclusion Part II FIRST CONSULTATION OF PATIENTS WITH SPINAL CORD INJURY Chapter 4 Medical History and Physical Examination Introduction Medical History Physical Examination Conclusion Chapter 5 Testing Introduction Recommended Tests Urinalysis/urine Culture Blood Chemistry Voiding Diary Postvoid Residual Urinary Tract Ultrasound Elective Tests Urethrocystoscopy Computed Tomography, Magnetic Resonance Imaging, Other Uroflowmetry Urodynamic Testing Video-urodynamics Specialist Uro-neurophysiological Tests Conclusion Chapter 6 Bladder Management and Follow-Up Plan Introduction Bladder Management Follow-up Plan Conclusion Part III CONSULTATIONS FOR MAIN COMPLAINTS IN NEUROGENIC BLADDERS Chapter 7 Incontinence Due to Neurogenic Detrusor Overactivity Introduction Epidemiology Diagnosis History and Physical Examination Bladder Diary and Questionnaires Urinalysis and Urine Culture Pad-weighing Test Renal Evaluation Other Investigations Urodynamics Involuntary detrusor contractions Decreased bladder compliance Increased bladder sensation Decreased cystometric capacity Treatment Conservative Treatment Pharmacological Treatment Oral administration Transcutaneous administration Intravesical administration Botulinum Toxin A Injections Neurostimulation/Neuromodulation Sacral neuromodulation Tibial nerve stimulation Transcutaenous electrical nerve stimulation< Surgery Bladder augmentation and detrusor myectomy Urinary diversion Conclusion Chapter 8 Retention Introduction Epidemiology Diagnosis History and Physical Examination Bladder Diary and Questionnaires Urinalysis and Urine Culture Uroflowmetry Postvoid Residual Renal Evaluation Bladder Ultrasound Other Investigations Patients with retention due to neurogenic detrusor underactivity (Detrusor underactivity, Reduced bladder sensation, Increased cystometric capacity) Patients with retention due to detrusor-sphincter dyssynergia Treatment Treatment of Patients with Retention Due to NDU Intermittent catheterization Indwelling catheterization Sacral neuromodulation Other modalities Treatment of Patients with Retention Due to DSD Intermittent catheterization + pharmacotherapy Botulinum toxin A injections Sacral neuromodulation External sphincterotomy Indwelling catheteriation, urinary diversion Special Consideration for Patients With Detrusor Hyperactivity and Impaired Contractility Conclusion Chapter 9 Incontinence Due to Neurogenic Sphincter Deficiency Introduction Epidemiology Diagnosis Medical History Physical Examination Other Recommended and Elective Tests Urodynamics Treatment Conservative Treatment Pelvic floor muscle therapy Surgery Artificial urinary sphincter Slings Bulking agents Artifical compression devices (balloon insertion) Invasive surgery Conclusion Part IV CONSULTATIONS FOR COMPLICATIONS OF NEUROGENIC BLADDER Chapter 10 Urinary Tract Infection Introduction Definitions Epidemiology Diagnosis Symptoms and Signs Laboratory Testing Additional Testing Treatment Prevention Mechanical Strategies for UTI Prevention Intermittent catheterization Indwelling catheterization Medical Strategies for UTI prevention Conclusion Chapter 11 Urolithiasis Introduction Epidemiology Risk Factors Stone Composition Diagnosis and Treatment Diagnosis Treatment Preoperative Considerations in Neurogenic Patents Suffering from Uroliathisis Treatment Options Prevention Conclusion Chapter 12 Hydronephrosis Introduction Pathophysiology Diagnosis Medical History and Physical Examination Laboratory Testing Imaging Ultrasound Computed tomography Other techniques Treatment Drainage Percutaneous nephrostomy Ureteral stents Other Vesicoureteral Reflux Conclusion Chapter 13 Renal Failure Introduction Epidemiology Diagnosis Chronic Kidney Disease (Chronic Renal Failure) Definitions and staging Signs and symptoms Laboratory data Imaging studies Acute Kidney Injury Definitions and staging< Signs and symptoms Laboratory data Imaging studies Treatment Treatment of Chronic Kidney Disease Urinary diversion Renal replacement therapy Treatment of Acute Kidney Injury Conclusion Chapter 14 Autonomic Dysreflexia Introduction Pathophysiology Epidemiology Aetiology Diagnosis Symptoms and Signs Consequences Treatment Acute Management Chronic Management (Prevention) Conclusion Chapter 15 Other (Bladder Cancer, Sexual Dysfunction) Bladder cancer Epidemiology< Risk Factors Screening Diagnosis and Treatment Sexual Dysfunction Epidemiology Diagnosis Treatment Management of sexual (erectile) dysfunction in the male Management of sexual dysfunction in the female) Conclusion Chapter 16 Benign Prostatic Hyperplasia and Neurogenic Bladder Introduction Epidemiology Diagnosis Treatment Pharmacological Treatment Surgical Treatment Other Treatment Options Conclusion Part V PATIENT EDUCATION Chapter 17 Patient Education Introduction Intermittent Catheterization Behavioural Techniques Toileting Assistance Pelvic Floor Muscle Therapy Lifestyle Intervention Care of Urinary Diversion Conclusion Part VI REPORTS AND GUIDELINES Chapter 18 Reports and Guidelines on Neurogenic Bladder General Neurourological Guidelines Patients after Spinal Cord Injury Pediatric Patients Urodynamics Regional Guidelines

Autorenportrait

Jacques Corcos, CMS, MD, FRCS Professor of Surgery (Urology) Department of Urology, Jewish General Hospital, McGill University 3755 Côte-Sainte-Catherine Road, Pavilion E,H3T 1E2, Montréal, Québec, Canada Mikolaj Przydacz, MD Department of Urology, Jewish General Hospital, McGill University 3755 Côte-Sainte-Catherine Road, Pavilion E,H3T 1E2, Montreal, Quebec, Canada

Back cover copy

This book is aimed to bring the reader into the heart of the action of any health professional consulted for a patient with a neurogenic bladder (NB). Extensive textbooks of the NB exist but there is a lack of an actual practical guide for diagnosis and management of patients suffering from NB. This book provides a single source of information on consultation in neurourology. The text covers both urinary incontinence and retention resulting from NB dysfunction. The book also discusses complications of NB which include urinary tract infections, hydronephrosis, renal failure or autonomic dysreflexia. Sections address these clinical issues faced by physicians. This book provides a useful guide with comprehensive and practical instructions for all practitioners dealing with NB in their day-to-day clinical practice. It will serve as a valuable resource for those with a special interest in NB. The book reviews new data about diagnostic and management options. It also provides a concise yet comprehensive summary of the current NB guidelines from different societies. All chapters include the most up to date scientific and clinical information with the relevant level of clinical evidence and grade of recommendation.