Blog
About

4
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: not found

      Clinical aspects of detrusor instability and the value of urodynamics: a review of the evidence.

      European Urology

      physiology, Urodynamics, surgery, physiopathology, diagnosis, Urinary Incontinence, Stress, Urinary Bladder, Prognosis, Muscle, Smooth, Muscle Contraction, Male, Humans, Female

      Read this article at

      ScienceOpenPubMed
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The term unstable bladder was introduced as a description of an observation not implying pathology. In some patients, special provocative maneuvers may be needed to demonstrate it. It is variable from one test to another. It is observed in some healthy volunteers. Therefore, detrusor instability observed during urodynamic testing is not a medical condition and may not necessarily be clinically relevant. In an individual patient the clinical relevance of the observation must be judged in relation to symptoms and signs of bladder dysfunction. In the field of female incontinence there is general agreement that, statistically, the pre-operative observation of detrusor instability implies poorer results of anti-incontinence surgery. However, some incontinent patients with detrusor instability are improved by surgery. Consequently, different authors draw different conclusions about the clinical relevance of detrusor instability, but no author considers that detrusor instability is an absolute contraindication to surgery for stress incontinence.

          Related collections

          Author and article information

          Journal
          9705547

          Comments

          Comment on this article