Bladder Dysfunction and Parkinsonism: Current Pathophysiological Understanding and Management Strategies

Campeau, Lysanne; Soler, Roberto; Andersson, Karl‐Erik

doi:10.1007/s11934-011-0219-8

Cited by 21 publications

(7 citation statements)

References 32 publications

(30 reference statements)

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“…Urinary tract infections are also common likely due to autonomic abnormalities leading to bowel and bladder dysfunction. Constipation or faecal impaction is another cause which may result in urinary retention and infections …”

Section: Discussionmentioning

confidence: 99%

Factors that lead to hospitalisation in patients with Parkinson disease-A systematic review

2017

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SummaryObjectives: Parkinson disease (PD) frequently leads to acute hospitalisation resulting in increased cost to health care systems and reduced quality of life for patients. The objective of this review was to identify causes that lead to acute hospitalisation of patients with PD. Methods:A systematic review of English language literature from 1997 to present. Findings:The incidences of acute general medical or surgical problems that trigger acute hospitalisation in patients with PD are similar to those in the general population.However, falls, acute decompensation of PD symptoms and infections are far more common in PD patients and are responsible for more than 50% of the causes of hospitalisation in this patients' group. This may be due to the fact that the urgent care needed for the acute illness leading to hospitalisation overrides the routine care for administering PD medications buy a busy medical and nursing staff. 4 This could account for the increased length of hospital stay for patients with PD compared to the general population. 5 The aim of this review was to explore the causes of acute hospitalisation of people with PD to identify possible community-based preventive strategies. | METHODSWe have performed a literature search through MEDLINE, CINAHL, PSYCHINFO and EMBASE databases from 1997 to present. Relevant key words such as Parkinson disease, hospitalisation, admission and acute decompensation were used individually and in combination. We searched only studies published in English language. Studies were selected if they included hospitalised PD population and reported the cause of hospitalisation as the outcome. Hand search of the included studies for further relevant references was also undertaken (Figure 1).We utilised The Critical Appraisal Skills Programme (CASP) tools to critically appraise the quality of evidence provided by the studies. 6 We have analysed causes of admission for those admitted to neurological wards separate from those admitted to general wards to avoid skewing the data more towards neurological causes of admission as

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Section: Discussionmentioning

confidence: 99%

Factors that lead to hospitalisation in patients with Parkinson disease-A systematic review

2017

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“…1 Lower urinary tract symptoms (LUTS) occur in 7% to 70% of patients during the course of the disease that negatively influence health-related quality of life medication for at least 3 months prior to enrollment and if the dosage did not change over the duration of their participation in the study. 1 Lower urinary tract symptoms (LUTS) occur in 7% to 70% of patients during the course of the disease that negatively influence health-related quality of life medication for at least 3 months prior to enrollment and if the dosage did not change over the duration of their participation in the study.…”

Section: ■ Introductionmentioning

confidence: 99%

Transcutaneous Tibial Nerve Stimulation in the Treatment of Lower Urinary Tract Symptoms and Its Impact on Health-Related Quality of Life in Patients With Parkinson Disease

Perissinotto

D’Ancona

Lúcio

et al. 2015

Journal of Wound, Ostomy &Amp; Continence Nursing

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“…The pathophysiology underlying DU in PD is currently not well understood, although studies have correlated DU to the patient’s overall motor function 57 . Both pseudodyssynergia of the EUS during NDO and bradykinesia of the EUS during the onset of voluntary micturition can occur in PD patients 58 . Both of these EUS abnormalities can lead to impaired detrusor contractility and DU.…”

Section: Neurogenic Causes Of Detrusor Underactivitymentioning

confidence: 99%

Neurogenic Causes of Detrusor Underactivity

Kadow

Tyagi

Chermansky

2015

Curr Bladder Dysfunct Rep

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Detrusor underactivity (DU) is a poorly understood dysfunction of the lower urinary tract which arises from multiple etiologies. Symptoms of DU are non-specific, and a pressure-flow urodynamic study is necessary to differentiate DU from other conditions such as overactive bladder (OAB) or bladder outlet obstruction (BOO). The prevalence of DU ranges from 10–48%, and DU is most prevalent in elderly males. The pathophysiology underlying DU can be from both neurogenic and non-neurogenic causes. In this article, we review the neurogenic causes of detrusor underactivity, including diabetic bladder dysfunction, spinal cord injury, multiple sclerosis, Parkinson’s disease, cerebrovascular accident, traumatic brain injury, and Fowler’s syndrome. As knowledge about the underlying causes of DU advances, there have been several potential therapeutic approaches proposed to help those who suffer from this condition.

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Bladder Dysfunction and Parkinsonism: Current Pathophysiological Understanding and Management Strategies

Cited by 21 publications

References 32 publications

Factors that lead to hospitalisation in patients with Parkinson disease-A systematic review

Factors that lead to hospitalisation in patients with Parkinson disease-A systematic review

Transcutaneous Tibial Nerve Stimulation in the Treatment of Lower Urinary Tract Symptoms and Its Impact on Health-Related Quality of Life in Patients With Parkinson Disease

Neurogenic Causes of Detrusor Underactivity

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