Bladder Dysfunction in the Adult: The Basis for Clinical Management

293 Pages·2014·5.08 MB·English

by  Alan J. Wein

Current Clinical Urology
Series Editor: Eric A. Klein
Alan J. Wein
Karl-Erik Andersson
Marcus J. Drake
Roger R. Dmochowski Editors
Bladder
Dysfunction
in the Adult
The Basis for Clinical Management
C C U
URRENT LINICAL ROLOGY
ERIC A. KLEIN, MD, SERIES EDITOR
PROFESSOR OF SURGERY
CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE HEAD
SECTION OF UROLOGIC ONCOLOGY
GLICKMAN UROLOGICAL AND KIDNEY INSTITUTE
CLEVELAND, OH
For further volumes:
http://www.springer.com/series/7635

Alan J. Wein (cid:129) Karl-Erik Andersson
Marcus J. Drake (cid:129) Roger R. Dmochowski
Editors
Bladder Dysfunction
in the Adult
The Basis for Clinical Management
Editors
Alan J. Wein, M.D., Ph.D. (Hon.), F.A.C.S. Karl-Erik Andersson, M.D., Ph.D.
Perelman School of Medicine AIAS, Aarhus Institute of Advanced
University of Pennsylvania Studies
Health System Aarhus University
Philadelphia , PA , USA Aarhus , Denmark
Marcus J. Drake, M.A. (Cantab), Roger R. Dmochowski, M.D., M.M.H.C.
D.M. (Oxon.), F.R.C.S. (Urol.) Department of Urologic Surgery
University of Bristol and Bristol Vanderbilt University Medical Center
Urological Institute Nashville , TN , USA
Bristol , UK
ISSN 2197-7194 ISSN 2197-7208 (electronic)
ISBN 978-1-4939-0852-3 ISBN 978-1-4939-0853-0 (eBook)
DOI 10.1007/978-1-4939-0853-0
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2014941584
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Pref ace
T he idea for this text arose from an informal discussion between the four of
us at the annual ICI-RS (International Consultation on Incontinence-Research
Society). The concept was to produce a series of presentations that covered
virtually every topic that fell under the rubric of bladder function and
dysfunction in the adult. We wanted to cover “the basics” in a manner suffi -
cient for understanding how and why things “work”, but not in an overly
detailed manner that would be considered suffocating. The same concept was
meant to apply to a description of the common types of dysfunctions which
we encounter in clinical practice and to the methods of evaluation and thera-
pies (non-, minimally and maximally invasive) which we commonly utilize.
Hopefully, we have achieved that goal.
Philadelphia, PA Alan J. Wein
Aarhus, Denmark Karl- Erik Andersson
Bristol, UK Marcus J. Drake
Nashville, TN Roger R. Dmochowski
(Written by Alan J. Wein, M.D. for the Editors)
v

Acknowledgement
T he editors would like to thank Mr. Michael Griffi n of Springer for his advice
and assistance in bringing this volume forward.
vii

Contents
Part I Basic Considerations: Normal Function
1 Relevant Anatomy, Physiology, and Pharmacology ................... 3
Karl-Erik Andersson
2 Normal and Abnormal Function: An Overview ......................... 19
Alan J. Wein
Part II Types of Bladder Dysfunction
3 The Impact of Neurologic Insult on the Lower
Urinary Tract ................................................................................. 27
Roger R. Dmochowski and Alex Gomelsky
4 Dysfunction in Anatomic Outlet Obstruction in Men ............... 37
Thomas Renninson, Marcus J. Drake,
and Brian Andrew Parsons
5 Outlet Obstruction in Women ...................................................... 51
Thomas Renninson, Amit Mevcha,
and Brian Andrew Parsons
6 Bladder Pain Syndrome................................................................ 59
Marcus J. Drake
7 Other Varieties of Dysfunction ..................................................... 65
Jonathan Williams
Part III Evaluation
8 Evaluation: History and Physical Examination,
Imaging, and Endoscopy .............................................................. 77
Alan J. Wein
9 Urodynamics .................................................................................. 85
Marcus J. Drake
10 Special Tests ................................................................................... 95
Jalesh N. Panicker and Marcus J. Drake
ix