detrusor

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Examples of detrusor

  • A general reduction in the number of autonomic nerves in detrusor smooth muscle of elderly patients with atonic bladder has been observed.

  • There were no detectable differences in terms of voiding dysfunction, urge incontinence or detrusor instability between suburethral slings and abdominal or needle suspensions.

  • There is still no effective drug therapy for the treatment of retention and no very effective drug treatment for unstable detrusor contractions.

  • They block transmission of nerve impulses from sacral efferents to the detrusor muscles, inhibiting contraction.

  • They involve regular contraction of perivaginal musculature and cause muscular hypertrophy and possibly inhibition of detrusor contraction by a local inhibitory neural reflex.

  • In 20% of these patients incomplete voiding occurs due to dyssynergic contraction of the detrusor and sphincter muscles or due to mechanical outflow obstruction.

  • With spinal cord pathology, incomplete bladder emptying may occur due to a combination of detrusor-sphincter dyssynergia and poor detrusor contraction during attempts at voiding.

  • However, detrusor overactivity is present in up to half of continent elderly individuals.

  • Other causes of bladder overflow obstruction such as urethral stricture and underactive detrusor muscle due to muscular or neurological disease are rarer.

  • It is of little value in the management of incontinence due to detrusor instability or sphincter incompetence.

  • Contractions of the detrusor muscle can also occur during filling of the bladder which cannot be inhibited.

  • Oxybutynin with bladder retraining for detrusor instability in elderly people: a randomised controlled trial.

  • Statistically, there was no significant correlation between the two tests: r = 0.177 and 0.258 for the patients with detrusor instability and stress incontinence, respectively.

  • They are usually performed with filling cystometry which gives information about sensation, bladder capacity, compliance, the presence or absence of detrusor instability and incontinence.

  • The bladder fills without an accompanying rise in pressure, due to relaxation of the detrusor muscle in the wall and the elastic properties of the connective tissue.

Meaning of detrusor

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