No abstract available.
Urinary Bladder, Neurogenic*

Since the year 1993, on the purpose to protect the upper urinary tract and to ameliorate the quality of life, 160 intestinocystoplasties have been realized on many original diseases of the bladder: tumor, neurogenic bladder, chronic cystitis, urinary tuberculosis, cancer of the prostate. The ileum and ileocaecum were 2 positions of the GI tract chosen for reconstruction. Ileum was more preferred in the substitution as well as the augmentation procedures. The authors presented many modifications in technique, in the organization of the team of surgeons, in the postoperative surveillance. The results: showed that the neobladder had a good compliance: high volume and low pressure. They also showed that the continent intestinocystoplasty procedures had given a more improved quality of life in comparison with the other urinary diversion methods.
Bladder, Neurogenic ; Urinary Tract

Nonneurogenic neurogenic bladder is a condition in which the patient is with day and night wetting, infected urine, residual urine, reflux and upper tract damage without neurologic lesion or anatomical obstruction. Recently it is known that some patients with pediatric unstable bladder may contract their external sphincter to inhibit the detrusor contraction and pathological persistence of this "hold on" habit after they master a normal mature pattern of cortical control over the detrusor may result in nonneurogenic neurogenic bladder. The condition is reversible by bladder training with various methods. We report a case of nonneurogenic neurogenic bladder who is treated by self CIC after ileocecocystoplasty because bladder retraining has been failed due to high fever and severe frequency.
Fever ; Humans ; Urinary Bladder ; Urinary Bladder, Neurogenic*

A clinical evaluation was performed on 7 patients of neurogenic bladder who underwent T.U.R. or T.U.R. with external sphincterotomy. All patients were indwelling Foley catheter from 7 months (minimal) to 2 and 1/2 years(maximal), were unable to self-voiding and their residual urine was over 100cc. The following conclusions were obtained: 1) 3 patients underwent T.U.R. but T,U.R. and external sphincterotomy was performed in 4 patients. 2) Of 7 patients, satisfactory result was obtained in 5 patients, but 2 patients obtained unsatisfactory result.
Catheters ; Humans ; Urinary Bladder, Neurogenic*

No abstract available.
Humans ; Urinary Bladder, Neurogenic* ; Urodynamics*

It is very difficult to diagnose and treat the condition of neurogenic bladder or neurogenic voiding dysfunction. Causes of neurogenic bladder are central nervous system disorders. Diagnosis is based on urodynamic investigations. 80% of patients with neurogenic bladder can be treated by internal medicine therapies, but it is necessary to diagnose correctly the type of disorders (brain, spinal cord, peripheral nerves…) and to define exactly activities of muscle of bladder, urethral sphincter. Targets of treatment are preserving renal functions and improving urinary incontinence. Besides, there are some surgical procedures
Urinary Bladder, Neurogenic ; Diagnosis ; Therapeutics

No abstract available.
Spinal Cord* ; Urinary Bladder, Neurogenic*

Emphysematous cystitis is an uncommon condition which is characterized by gas collection within the bladder wall and lumen due to gas forming organisms. Persons with diabetes, neurogenic bladder and chronic urinary infection are predisposed to the disease. We report a case of emphysematous cystitis owing to E. coli in a diabetic woman.
Cystitis* ; Female ; Humans ; Urinary Bladder ; Urinary Bladder, Neurogenic

We developed a new, affordable, and easy-to-use natural-fill cystometric device to overcome the limitation of conventional cystometry, long been criticized for being unphysiological. The device was composed of one transurethral catheter, one rectal catheter, two digital manometers, and a portable computer. The transurethral and rectal catheters were connected to manometers, which were then connected to the computer. Three persons with neurogenic bladder were recruited for testing the device. To shorten the test duration, we gave patients 500 ml water before the test. As urine filled inside the bladder, the transurethral and rectal catheters transmitted respectively the intravesical and abdominal pressures to the digital manometers. The pressures were stored within the portable computer and turned into graphs indicating pressure changes. The natural-fill cystometry is thought to be a physiological test that is affordable and convenient because of its simple structure and small size.
Catheters ; Humans ; Urinary Bladder ; Urinary Bladder, Neurogenic* ; Water

OBJECTIVE: To compare the sensitivity of transrectal ultrasonography (TRUS) and voiding cystourethrography (VCUG) in assessing the opening of bladder neck and external urethral sphincter during the filling phase and voiding phase. METHOD: TRUS and VCUG were performed for visualizing the opening of bladder neck and external sphincter in 36 patients with a neurogenic bladder dysfunction and the sensitivity of two techniques was compared. The finding was considered to be a true positive when the opening of internal or external sphincter was visualized on either one of TRUS or VCUG. RESULTS: The sensitivity of TRUS was significantly higher than VCUG in visualizing the opening of bladder neck during the filling phase. However, there was no significant difference in the sensitivity of two techniques for the opening of external sphincter during filling phase or the opening of internal and external sphincters during voiding phase. CONCLUSION: The results demonstrate that the TRUS provides a satisfactory information and can be an alternative method to the radiological VCUG in visualizing the opening of bladder neck or external sphincter.
Humans ; Neck* ; Ultrasonography* ; Urethra ; Urinary Bladder* ; Urinary Bladder, Neurogenic