1. Have sleep habits changed? Duration, quality, onset of sleep, sleep interruptions, and nightmares? 2. Daytime sleepiness? Particularly in the morning? Afternoon naps? 3. Increase in blood pressure in the…
Symptom Alternative etiology Cardiovascular Orthostatic intolerance: Symptoms due to cerebral, retinal, or global hypoperfusion: Light-headedness, unclear thinking Blurred vision, loss of peripheral and color vision, darkened vision Coat hanger or…
I. Improve bladder emptying Cellular therapy: Intradetrusor application stem cells Reduction cystoplasty: Resection of bladder dome reduces capacity by up to 80 % in some cases Bladder myoplasty: Microneurovascular free…
Fig. 3.1 (a–c) Normal-size bladder capacity in three patients on contrast-filled cystogram. (d) Cystogram of underactive bladder in a 54-year-old woman with bladder capacity over 1,200 ml and PVR of…
Sacral nerve stimulation (SNS) (Interstim, Medtronic, Minneapolis, MN, USA) Direct stimulation to the sacral nerve roots; the Brindley device (Finetech Medical, Hertfordshire, UK) Pudendal nerve interruption or blockade; Tai procedure…
Fig. 4.1 Neurophysiology of the lower urinary tract Neuron reflexes guiding the voiding are mediated by a spinobulbospinal pathway passing through the pontine micturition center in the brainstem (Tyagi et…
Fig. 5.1 Urethral indwelling catheter Fig. 5.2 Suprapubic indwelling catheter Table 5.1 Complications of indwelling catheterization Complication Prevention Bacteriuria – most patients with long-term catheterizations develop bacteriuria. The incidence is…
Fig. 13.1 Surgeon’s view of bladder exstrophy during complete primary repair of bladder exstrophy; the pelvic diaphragm separates the pelvic sphincter mechanism from the bulbospongiosus, superficial transverse perineal muscle, and…
Fig. 2.1 Massively distended bladder with bilateral hydronephrosis Signs of UAB UAB may exist without any of the symptoms described above. In this instance, the patient may have lost the…
Fig. 14.1 Underactive bladder (UAB) may affect an individual in a variety of ways. Some of the potential impacts of UAB include urinary retention, pain/discomfort, incontinence, urinary tract infections (infection),…
