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Neurogenic Disease and Incontinence: Physiology, Pathophysiology, Diagnostic Imaging, and Urodynamic Studies

  • Chapter
Radiology of the Lower Urinary Tract

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Neuromuscular dysfunction of the bladder and urethra is common; it has been estimated that the prevalence in adults of various forms of dysfunction may be as high as 10% (Friedland and Perkash 1983). The principal reason for this relatively high figure is that neuromuscular bladder dysfunction can be caused by common diseases, including, for example, diabetes mellitus, cerebrovascular disease, Alzheimer’s disease, and Parkinson’s disease (Dennis et al.

Effect of drugs on the detrusor and urethra

1991; Lose and Colstrup 1991; O’Donnell and BBeck 1991; Lose 1991; van Gool et al. 1992). It is not sufficiently realized, however, how frequent this problem has become with drug therapy. Figure 16.1 illustrates commonly used drugs that can contract or relax the detrusor and urethra. It should be noted that this list includes common drugs like antidepressants and those used for cardiovascular disease, such as β-blockers and calcium channel blockers. As these drugs are now used very widely, it is not surprising that side-effects in the urinary tract occur more often. Unfortunately, such side-effects are frequently not immediately recognized.

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Author information

Authors and Affiliations

  1. Radiology Service, Veterans Administration Medical Center, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA

    Gerald W. Friedland M.D. (Chief)

  2. Spinal Cord Injury Service, Veterans Administration Medical Center, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA

    Inder Perkash M.D. (Chief)

  3. Nuclear Medicine Service, Veterans Administration Medical Center, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA

    George M. Segall M.D. (Assistant Chief)

Authors
  1. Gerald W. Friedland M.D.
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  2. Inder Perkash M.D.
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  3. George M. Segall M.D.
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Editor information

Editors and Affiliations

  1. Department of Radiology, School of Medicine, Louisiana State University, Medical Center, 1542 Tulane Avenue, New Orleans, LA, 70122-2822, USA

    Erich K. Lang M.D. (Professor and Chairman) (Professor and Chairman)

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© 1994 Springer-Verlag Berlin Heidelberg

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Friedland, G.W., Perkash, I., Segall, G.M. (1994). Neurogenic Disease and Incontinence: Physiology, Pathophysiology, Diagnostic Imaging, and Urodynamic Studies. In: Lang, E.K. (eds) Radiology of the Lower Urinary Tract. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84431-7_16

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  • DOI: https://doi.org/10.1007/978-3-642-84431-7_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-84433-1

  • Online ISBN: 978-3-642-84431-7

  • eBook Packages: Springer Book Archive

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