Neurogenic Lower Urinary Tract Dysfunction-Neurogenic Lower Urinary Tract Dysfunction

Video Transcription

Video Summary

In this video webcast, Dr. Stephen Krause presents on the topic of neurogenic lower urinary tract dysfunction. He discusses the different types of neurogenic bladder and emphasizes the importance of assessing bladder function. Diagnostic tests and treatment options are explored, with a focus on the risk of upper tract damage and the need for regular monitoring. Graphical representations of urodynamic studies are provided to illustrate different patterns. Dr. Krause highlights the significance of assessing bladder function and managing the condition to prevent complications.<br /><br />The video also covers various types of bladder dysfunctions and their causes, including detrusor overactivity, detrusor hyperactivity with impaired contractility, and detrusor sphincter dyssynergia. Treatment goals such as protecting the kidneys and alleviating symptoms are discussed. Pharmacologic treatments like anticholinergics, botulinum toxin injections, and beta-3 agonists are mentioned for overactive bladder symptoms. Limited options are available for bladder dysfunction caused by sphincter problems, with botulinum toxin injections being an option for men. Patients with underactive bladders may require intermittent catheterization or tube drainage. Surgical options such as augmentation cystoplasty, bladder neck closure, or urinary diversions may be considered when other treatments are not effective. The importance of urodynamics in determining appropriate treatment is emphasized.<br /><br />No credits were mentioned in the video.

Asset Caption

Stephen R. Kraus, MD

Meta Tag

Category Education

Category Urinary Incontinence

Keywords

neurogenic lower urinary tract dysfunction

bladder function assessment

diagnostic tests

treatment options

upper tract damage

regular monitoring