Textbook of the neurogenic bladder 3rd Edition by Jacques, David Ginsberg, Gilles Karsenty ISBN 1482215543 9781482215540

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ISBN 10:    1482215543
ISBN 13: 978-1482215540
Author:     Jacques,David Ginsberg,Gilles Karsenty

The editors of this comprehensive third edition of the Textbook of the Neurogenic Bladder have assembled an impressive team of world specialists to develop an essential resource for physicians, continence specialists, and other health care professionals involved in the diagnosis and management of patients who have lost normal bladder function.

The book provides a succinct update on epidemiology and briefly covers lower urinary tract anatomy and physiology. This is followed by a discussion on the pathophysiology of various types of dysfunctions and a clinical section that focuses on evaluation and treatment.

Different types of treatments from behavioral to surgical are reviewed, including the most recent and sophisticated pharmacotherapy and tissue engineering approaches. A special section is devoted to myelomeningocele, a congenital condition with lifelong repercussions on voiding.

Other topics such as complications, sexual function, fertility, maternity aspects, and prognostic factors round off the book. Each topic is covered in detail by several authors for a better overall understanding. A selection of reports and guidelines in relation to neurogenic bladder dysfunction is also included.

This revised edition builds on the strong reputation of its predecessors. It is an essential reference tool for urologists, nurses, and technicians involved in the care of patients with neurogenic bladder dysfunction.

Textbook of the neurogenic bladder 3rd Table of contents:

Normal Genito-Urinary Tract and Functional Pathology of the Lower Urinary Tract:

The genito-urinary system includes the kidneys, ureters, bladder, and urethra. Pathological issues often affect the lower urinary tract, leading to symptoms such as incontinence, retention, or painful urination. These can stem from various conditions such as infections, obstructions, or neurological impairments.

Neurologic Pathologies and Neurogenic Bladder:

Neurogenic bladder refers to bladder dysfunction caused by neurological impairments. Conditions like spinal cord injuries, multiple sclerosis, stroke, and congenital disorders like spina bifida can disrupt the nerves controlling the bladder, leading to problems with voiding, incontinence, or retention.

Evaluation of Neurogenic Bladder Dysfunction:

Diagnosis includes a combination of medical history, physical exams, urodynamic studies, and imaging tests to assess the structure and function of the bladder, as well as the extent of nerve damage. Urodynamics is particularly useful in understanding bladder compliance, capacity, and pressure dynamics during filling and voiding.

Classification:

Neurogenic bladder dysfunction is often classified based on the type of dysfunction (e.g., hyper-reflexic, areflexic) and its underlying neurological cause (e.g., upper vs. lower motor neuron lesions).

Treatment:

Treatment varies according to the specific condition but often includes medications (e.g., anticholinergics for overactive bladder), intermittent catheterization, or surgical interventions like bladder augmentation or implantation of neurostimulators.

Special Considerations in Meningo-Myelocele:

Meningo-myelocele (a type of spina bifida) presents unique challenges, as the spinal cord is exposed or damaged. Treatment for individuals with meningo-myelocele requires early intervention and may involve surgical repair of the defect, along with ongoing care to manage bladder function and prevent further neurological damage.

Complications:

Complications from neurogenic bladder include urinary tract infections (UTIs), kidney damage from high-pressure voiding, bladder stones, and reduced quality of life. Additionally, individuals with neurogenic bladder may experience sexual dysfunction due to both neurological damage and related treatments.

Sexual Dysfunction in Neurological Disorders:

Neurologic disorders can impact sexual function, with issues such as erectile dysfunction, reduced sensation, and altered sexual response. These dysfunctions often result from damage to the spinal cord or brain areas responsible for sexual reflexes and arousal.

Prognosis and Follow-Up:

Prognosis depends on the underlying neurological condition and the success of management strategies. Regular follow-up care is critical to prevent complications, ensure proper bladder management, and monitor kidney function.

For a detailed and well-rounded exploration, reviewing specific clinical guidelines and reports, such as those from the American Urological Association or similar medical bodies, will provide further depth and current best practices.

Let me know if you’d like links to more detailed articles or references on any of these aspects.

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