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Urol. Clin. North Am. · Aug 2014
ReviewNeurogenic lower urinary tract dysfunction: how, when, and with which patients do we use urodynamics?
- Teresa L Danforth and David A Ginsberg.
- Department of Urology, SUNY Buffalo School of Medicine and Biomedical Sciences, Buffalo General Hospital, 100 High Street, Suite B280, Buffalo, NY 14203, USA. Electronic address: danforth@buffalo.edu.
- Urol. Clin. North Am. 2014 Aug 1; 41 (3): 445-52, ix.
AbstractNeurogenic lower urinary tract dysfunction (NLUTD) affects many patients and requires close monitoring. Initial studies establishing patients at risk for upper tract disease revealed that high detrusor leak point pressures were predictive of upper tract disease. Urodynamics in patients with NLUTD have specific challenges. Initial studies in patients after an acute injury should be delayed until after the spinal shock phase. In children with spinal dysraphism, studies should be done early to established potential risk. The goals are maintaining low bladder pressures, decreasing risk of infection, and maintaining continence. Copyright © 2014 Elsevier Inc. All rights reserved.
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