Full Description
This book summarises the entire field of adult neuro-urology in a concise, well-illustrated, and practical style.
Contents include epidemiology, lower urinary tract anatomy and physiology. This is followed by coverage of the pathophysiology of various types of voiding dysfunctions and a clinical section focusing on practical evaluation and treatment. A range of treatments from behavioral, pharmacological, intra vesical, tissue engineering and surgical are explained and reviewed. Other topics such as complications, sexual function, fertility, maternity aspects, and prognostic factors round off the book.
*Each topic is covered in detail and well illustrated.
*The reader will gain a full understanding of every aspect of adult neuro-urology.
*Facilitates improved clinical knowledge and practice.
Provides an essential and complete reference tool for students and established urologists, neurologists, physiotherapists and nurses, and technicians involved in the care of patients with neurogenic bladder dysfunction.
Contents
Foreword. Contributors. Introduction. PART I. EPIDEMIOLOGY AND PATHOPHYSIOLOGY OF NEUROGENIC BLADDERS. Epidemiology of Neurogenic Bladder. Pathophysiology of Detrusor Overactivity. Pathophysiology of Detrusor Underactivity/ Acontractile Detrusor. Pathophysiology of the Low Compliant Bladder. Pathophysiology and Prevalence of Detrusor-Sphincter Dyssynergia. Pathophysiology of Autonomic Dysreflexia. Pathophysiology of Spinal Shock. PART II. NEUROLOGIC PATHOLOGIES RESPONSIBLE FOR THE DEVELOPMENT OF THE NEUROGENIC BLADDER. SECTION A: PERIPHERAL NEUROPATHIES. Systemic Illnesses (Diabetes Mellitus, Sarcoidosis, Alcoholism, and Porphyrias). Peripheral Neuropathies of the Lower Urinary Tract Following Pelvic Surgery and Radiation Therapy. SECTION B: HEREDITARY AND DEGENERATIVE DISEASES. Dementia and Lower Urinary Tract Dysfunction. Pathologies of the Basal Ganglia, Such as Parkinson's and Huntington's Diseases. SECTION C: DEMYELINATING NEUROPATHIES. Multiple Sclerosis, Transverse Myelitis, Tropical Spastic Paraparesis, Progressive Multifocal Leukoencephalopathy, Lyme Disease. SECTION D: VASCULAR PATHOLOGIES AND TUMORS OF THE BRAIN PRESENTS. Cerebrovascular Accidents, Intracranial Tumors, and Voiding Dysfunction. SECTION E: DISK PROLAPSE AND TUMORS OF THE SPINAL CORD. Tumors of the Spine, Intervertebral Disk Prolapse, the Cauda Equina Syndrome. Tethered Cord Syndrome. SECTION F: TRAUMATIC INJURIES OF THE CENTRAL NERVOUS SYSTEM. Spinal Cord Injury and Cerebral Trauma. SECTION G: OTHER NEUROLOGIC PATHOLOGIES RESPONSIBLE FOR NEUROGENIC BLADDER DYSFUNCTION. Cerebral Palsy, Cerebellar Ataxia, Aids, Phacomatosis, Neuromuscular Disorders, and Epilepsy. Syringomyelia and Lower Urinary Tract Dysfunction. PART III. EVALUATION OF NEUROGENIC BLADDER DYSFUNCTION. Considerations for the Focused Neuro-Urologic History and Physical Exam. Patient-Reported Outcome Measures in Neurogenic Bladder. Endoscopic Evaluation of Neurogenic Bladder. Evaluation of Neurogenic Lower Urinary Tract Dysfunction: Urodynamics. Electrophysiologic Evaluation: Basic Principles and Clinical Applications. Neuroimaging in the Evaluation of Neurogenic Bladder Dysfunction. Practical Guide to Diagnosis and Follow-Up of Patients with Neurogenic Bladder Dysfunction. PART IV. CLASSIFICATION. Classification of Lower Urinary Tract Dysfunction. PART V. TREATMENT. Conservative Treatment. Systemic, Intrathecal, and Intravesical Pharmacologic Treatment of Neurogenic Lower Urinary Tract Dysfunction. Management of Autonomic Dysreflexia. Peripheral and Intravesical Electrical Stimulation of the Bladder to Restore Bladder Function. Surgery to Improve Reservoir Function. Surgery to Improve Bladder Outlet Function. Urinary Diversion. Transappendicular Continent Cystostomy Technique (Mitrofanoff Principle). Tissue Engineering and Cell Therapies for Neurogenic Bladder Augmentation and Urinary Continence Restoration. Neuroprotection and Repair After Spinal Cord Injury. Neural Rerouting in Patients with Spinal Cord Injury. PART VI. SYNTHESIS OF TREATMENT. An Overview of Treatment Alternatives for Different Types of Neurogenic Bladder Dysfunction in Adults. PART VII. COMPLICATIONS. Complications Related to Neurogenic Bladder Dysfunction I: Infection, Lithiasis, and Neoplasia. Complications Related to Neurogenic Bladder Dysfunction II: Upper Urinary Tract. Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms in Men with Neurogenic Bladder. PART VIII. SEXUAL DYSFUNCTION AND REPRODUCTION IN NEUROLOGIC DISORDERS. Pathophysiology of Male Sexual Dysfunction after Spinal Cord Injury. Treatment Modalities for Erectile Dysfunction in Neurologic Patients. Fertility Issues in Men with Spinal Cord Injury. Pregnancy in Spinal Cord Injury. PART IX. PROGNOSIS AND FOLLOW-UP. Prognosis of Neurogenic Bladders. PART X. NEUROGENIC BLADDERS IN DEVELOPING COUNTRIES. Challenges of Management of Neurogenic Bladder in the Developing World. PART XI. REFERENCES FOR REPORTS AND GUIDELINES. Reports and Guidelines in Relation to Neurogenic Bladder Dysfunction: A Selection. Index.
