Detrusor Sphincter Dyssynergia.

Furrer, Marc A; Kessler, Thomas M; Panicker, Jalesh N (2024). Detrusor Sphincter Dyssynergia. The Urologic clinics of North America, 51(2), pp. 221-232. Elsevier 10.1016/j.ucl.2024.01.001

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Detrusor sphincter dyssynergia (DSD) is defined as a detrusor contraction concurrent with an involuntary contraction of the urethral and/or periurethral striated muscles typically occurring in a patient with a spinal cord lesion above the sacral cord. Consequently, high urethral closure pressures during the detrusor contraction leads to high intravesical voiding pressure and large postvoid residuals, which can lead to significant complications in up to 50% of patients if DSD is not treated and followed-up regularly. DSD treatment options are centered around symptomatic management rather that addressing the underlying causative mechanisms.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Dermatology, Urology, Rheumatology, Nephrology, Osteoporosis (DURN) > Clinic of Urology

UniBE Contributor:

Furrer, Marc

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1558-318X

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

15 Apr 2024 10:44

Last Modified:

15 Apr 2024 10:53

Publisher DOI:

10.1016/j.ucl.2024.01.001

PubMed ID:

38609194

Uncontrolled Keywords:

Botulinum toxin Catheterization Pelvic floor electromyography Pharmacotherapy Pontine micturition center Sacral neuromodulation Spinobulbospinal pathway Videocystometrography

BORIS DOI:

10.48350/195950

URI:

https://boris.unibe.ch/id/eprint/195950

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