Neurogenic aspects of stress urinary incontinence

Anatomy of urinary continence and neurogenic incontinence

Normal anatomy: urinary continence The muscular apparatus of the vesicourethral unit Elbadawi proposed that the mammalian muscular apparatus of micturition is composed of four functional units, each of which appears to have a specifi c role in both the storage and voiding phases [1]. These units include the bladder body detrusor, lissosphincter, ureterotrigonal muscle and urethral rhabdosphinct...

Artificial urinary sphincter in adult male with neurogenic stress urinary incontinence: a rare indication.

INTRODUCTION The artificial urinary sphincter (AUS) is a rare indication for stress urinary incontinence secondary to spinal cord injury. CLINICAL PICTURE A 48-year-old male sustained spinal cord injury, resulting in detrusor acontractility and urinary stress incontinence. TREATMENT AND OUTCOME An AUS was implanted and the patient achieved complete urinary continence. CONCLUSION The AUS i...

Refractory Stress Urinary Incontinence

Pathophysiology of stress urinary incontinence.

All cases of stress urinary incontinence (SUI) are not the same; urethral pressures, prolapse conditions, and congenital and acquired sphincteric dysfunction all contribute to SUI pathophysiology. In order to optimally manage SUI, a thorough understanding of the pathophysiology behind the condition is necessary. Unsuccessful treatment of incontinence can result from the procedure itself or from...

Neurophysiology of stress urinary incontinence.

Stress urinary incontinence (SUI) involves involuntary leakage of urine in response to abdominal pressure caused by activities such as sneezing and coughing. The condition affects millions of women worldwide, causing physical discomfort as well as social distress and even social isolation. Until recently, SUI was approached by clinicians as a purely anatomic problem requiring behavioral or surg...