Idiopathic Detrusor Sphincter Dyssynergia in Neurologically Normal Patients
with Voiding Abnormalities

Jørgensen, Troels Munch; Djurhuus, Jens C.; Schrøder, Henrik Daa

doi:10.1159/000473490

Cited by 54 publications

(27 citation statements)

References 7 publications

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“…It is found in patients with vesico-ureteral reflux [Jorgensen et al, 1982], and in patients with recurrent cystitis [Koff et al, 1979], Urodynamically, the disease is characterized by intermittent sphincter activ ity during micturition, giving rise to abrupt increases in intravesical pressure, and a typi cal interrupted flow tracing ( fig. 1).…”

Section: Introductionmentioning

confidence: 99%

“…Treatment of DSD has been confined to drugs of the monosynaptic inhibitor type [Kaplan and Firlit 1980] or alpha-blocking agents [Jorgensen et al, 1982], In vesico ureteral reflux this treatment has shown beneficial results even on upper urinary tract dilatation [Kaplan and Firlit, 1980], but the risk of side effects is considerable. This has led to a search for other principles of treat ment.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Detrusor-Sphincter Dyssynergia by Bio-Feedback

Nørgaard¹,

Djurhuus²

1982

Urol Int

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Bio-feedback has recently been taken into use in the treatment of diseases of muscular origin. Here it is possible to establish a self-controlling relaxation and straining of muscles. Detrusor-sphincter dyssynergia of non-neurological origin is possibly a functional development disorder well suited for bio-feedback treatment. A bio-feedback circuit and the treatment of a patient with detrusor-sphincter dyssynergia is described in the present paper.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of Detrusor-Sphincter Dyssynergia by Bio-Feedback

Nørgaard¹,

Djurhuus²

1982

Urol Int

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“…Suggested etiologies have included psychological and behavioral disturbance (3), lack of arousal from sleep (4 -7), overproduction of nocturnal urine (8 -12), and delayed maturation of neural pathways and bladder abnormalities (6,(13)(14)(15)(16).…”

mentioning

confidence: 99%

Ureteric Jet Doppler Waveform and Bladder Wall Thickness in Children With Nocturnal Enuresis

et al. 2006

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In this article, the authors propose a non-invasive method to evaluate children with enuresis by correlating findings of color Doppler ultrasound of ureteric jet and bladder wall thickness. The authors compared the ultrasound findings in a group ABSTRACT:To test the hypothesis that the presence of nocturnal enuresis is related to increased frequency of immature vesicoureteric function, which is further associated with detrusor overactivity, we compared the incidence of immature monophasic ureteric jet in children with and without nocturnal enuresis. The relationship between monophasic ureteric jet Doppler wave form and bladder wall thickness was further explored in the enuresis group. Ultrasound examinations were performed in 511 children suffering from nocturnal enuresis and 266 normal controls. Doppler wave forms of the ureteric jet on each side and the bladder wall thickness after voiding were recorded. Standard urodynamic studies were obtained in 203 enuretic children for correlations with ultrasound findings. There was a significant increase in the incidence of monophasic ureteric jet waveforms in enuretic children when compared with the controls (19.2% versus 6.4% on the right side, 19.2% versus 8.3% on the left side, all p Ͻ 0.01). Furthermore, immature monophasic waveforms were more commonly seen in the enuretic group with markedly thickened bladder wall. Enuretic children with bilateral immature ureteric jet waveforms and markedly thickened bladder wall showed multiple significant urodynamic abnormalities (p Ͻ 0.05). The above observations could be accounted for by immaturity of both vesicoureteric junction and detrusor muscle.

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“…5], This was also often observed in our patients, especially in cases of severe DI. This phenomenon should not be mistaken for detrusor sphincter dyssynergia which is observed mainly in patients with supranuclear bladder paresis, but also in an idiopathic form in patients without neurological disor ders [9]. Both phenomena give rise to functional infravesical obstruction with intermittant high intravesical in creases in pressure which might cause inhibition of the immunological defence in the bladder [6].…”

Section: Discussionmentioning

confidence: 99%

Detrusor Instability in Children with Recurrent Urinary Tract Infection and/or Enuresis

Qvist¹,

Kk²,

Es³

et al. 1986

Urol Int

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Of 41 children, aged 5–15 years, referred consecutively because of recurrent urinary tract infections (UTIs) and/or enuresis, 18 (44%) showed detrusor instability (DI) in at least 2 of 6 CO₂ cystometries. One child was excluded from the study because of lack of follow-up. Four children with less pronounced DI (instability during ≤ 50% of the cystometries performed) and frequent UTIs were given antibiotics prophylactically for 3 months. In the remaining 13 children, DI was found during more than half the cystometries performed, and 11 of these children, who also had urge incontinence, were treated with emepronium bromide, 400–600 mg daily (10–12 mg/kg) for 3 months. In 7 of the patients this treatment was supplemented by antibiotics prophylactically because of frequent UTIs. Two children with special problems received other types of treatment. All children were free from symptoms at a clinical check-up 6 months later, 95% confidence limits 0–20%.

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Idiopathic Detrusor Sphincter Dyssynergia in Neurologically Normal Patients with Voiding Abnormalities

Cited by 54 publications

References 7 publications

Treatment of Detrusor-Sphincter Dyssynergia by Bio-Feedback

Treatment of Detrusor-Sphincter Dyssynergia by Bio-Feedback

Ureteric Jet Doppler Waveform and Bladder Wall Thickness in Children With Nocturnal Enuresis

Detrusor Instability in Children with Recurrent Urinary Tract Infection and/or Enuresis

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