Textbook of the Neurogenic Bladder provides the physician, whether qualified or in training, with excellent instruction for conducting thorough, efficient and beneficial examinations of both adults and children using a variety of instruments and tests.

Features:

• Contains over 500 illustrations clarify the differing states of neurogenic bladder dysfunction
• Describes the pathophysiology of neurogenic bladder dysfunction and the ways it alters vesico-urethral function
• Provides an overview of quality of life instruments that help determine the main outcome of interventions
• Covers imaging, electrophysiology, and extensive urodynamic studies in adults and children
• Discusses new non-surgical options and new ways to administer traditional treatments
• Includes a full chapter on a new classification system by its developer, Professor Anders Mattiasson

Contents

The Normal Urinary Tract

• Embryology of the Lower Urinary Tract
• Simplified Anatomy of the Vesico-urethral Functional Unit
• Physiology of the Smooth Muscles of the Bladder and Urethra
• Physiology of the Striated Muscles
• Pharmacology of the Lower Urinary Tract
• Integrated Physiology of the Lower Urinary Tract

Functional Pathology of the Lower Urinary Tract

• Epidemiology of the Neurogenic Bladder
• Ultrastructural Pathology of Neurogenic Bladder
• Pathophysiology of the Overactive Bladder
• Pathophysiology of the Areflexic Bladder
• Pathophysiology of the Low Compliant Bladder
• Pathophysiology of the Detruso-sphincteric Dyssynergia
• Pathophysiology of the Autonomic Dysreflexia
• Pathophysiology of Spinal Cord Injury

Neurological Pathologies Responsible for the Development of the Neurogenic Bladder

• Spina Bifida in Infancy and Childhood
• Spina Bifida in the Adult
• Syringomyelia and Lower Urinary Tract Dysfunction
• Acquired Disorders. Systemic Illnesses (Diabetes Mellitus, Sarcoidosis, Alcoholism, Porphyrias)
• Other Peripheral Neuropathies (Lumbo-sacral Zoster, Genito-urinary Herpes, Tabes Dorsalis, Guillan-Barré Syndrome)
• Peripheral Neuropathies of the Lower Urinary Tract Following Pelvic Surgery and Radiation Therapy
• Dementia and Lower Urinary Tract Function
• Pathologies of the Basal Ganglia (Parkinson's Disease and Huntington's Disease)
• Urinary Dysfunction in Multiple Organ Atrophy
• Multiple Sclerosis. Other Diseases (Transverse Myelitis, Tropical Spastic Paraparesia, Progressive Multifocal Leuco-encephalopathy, Lyme's Disease
• Cerebrovascular Accidents, Intracranical Tumors, and Urologic Consequences
• Invertebral Disc Prolapse
• Spinal and Cord Tumors
• Spinal Cord Injury and Cerebral Trauma
• Cerebral Palsy, Cerebellar Ataxia, AIDS, Phacomatosis, Neuromuscular Disorders and Epilepsy

Evaluation of Neurogenic Bladder Dysfunction

• Clinical Evaluation: History and Physical Examination
• Quality of Life Assessment in Neurogenic Bladder
• The Voiding Diary
• The Pad Test
• Endoscopic Evaluation of Neurogenic Bladder
• Imaging Technics in the Evaluation of Neurogenic Bladder Dysfunction
• Normal Urodynamic Parameters in Children
• Evaluation of Neurogenic Bladder Dysfunction: Basic Urodynamics
• Urodynamics in Infancy and Children
• Electrophysiological Evaluation: Basic Principles and Clinical Applications
• Practical Guide to Diagnose Lower Urinary Tract Dysfunction

Classification

• Classification of Lower Urinary Tract Dysfunction

Treatment

• Conservative Treatment
• Systemic and Intrathecal Pharmacological Treatment
• Intravesical Pharmacological Treatment
• Transdermal Oxybutynin Administration
• Management of Autonomic Dysreflexia
• Peripheral Electrical Stimulation
• Emptying the Neurogenic Bladder by Electral Stimulation
• Central Neuromodulation
• Intravesical Electrical Stimulation of the Bladder
• Surgery to Improve Reservoir Function
• Surgery to Improve Bladder Outlet Function
• Urinary Diversion
• Tissue Engineering Applications for Patients with Neurogenic Bladder
• Restoration of complete Bladder Function by Neurostimulation
• Neuroprotection and Repair after Spinal Cord Injury

Synthesis of Treatment

• Treatment Alternatives for Different Types of Neurogenic Bladder Dysfunction in Adults
• Treatment Alternatives for Different Types of Neurogenic Bladder Dysfunction in Children
• The Vesicourethral Balance

Complications

• Complications Related to Neurogenic Bladder Dysfunction (i) Infection, Lithiasis and Neoplasia
• Complications Related to Neurogenic Bladder Dysfunction (ii) Reflux and Renal Insufficiency

Prognosis

• Evolution and Follow-up of Lower Urinary Tract Dysfunction in Spinal Cord-injured Patients

Index

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