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Urologic Complications of Friedreich’s Ataxia

  • Elizabeth V. Dray
Chapter

Abstract

Friedrich’s ataxia is an early onset hereditary condition that causes progressive neurologic decline. Common urologic symptoms include urinary frequency, urgency, and incontinence. Elevated post-void residuals are also not uncommon. Urodynamic testing may demonstrate detrusor overactivity and detrusor sphincter dyssynergia but usually the bladder compliance is normal. Urologic treatment goals revolve around emptying the bladder completely via intermittent catheterization or indwelling catheter and managing overactive bladder symptoms with medications or onabotulinum injections. Friedrich’s ataxia patients have a potentially high risk of surgical complications due to underlying respiratory weakness and cardiac pathologies.

Keywords

Friedreich’s ataxia Urinary incontinence Urinary frequency Urodynamics Treatment 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Elizabeth V. Dray
    • 1
  1. 1.Division of Urology, Department of SurgeryGreenville Health SystemGreenvilleUSA

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