Finally, in patients with neurogenic bladder and an end-staged bladder with bladder wall fibrosis and poor detrusor compliance
, medical therapy is unlikely to be effective and treatment involving surgical reconstruction is warranted.
Also, the first sensation of bladder filling (FSBF), detrusor compliance
, and voiding time were recorded.
Cystometry revealed increased detrusor compliance
, reduced sensations, and increased capacity.
The efficacy of botulinum toxin type A injections in children with neurogenic bladders due to spina bifida was described in 2002; 85-300 U of botulinum toxin type A was injected into the detrusor muscle, causing an increase in average maximum bladder capacity and detrusor compliance
, and a decrease in the mean maximal detrusor pressure.
Medical Center), Karram, and Reynolds explain the surgical management of women with urinary incontinence and specific procedures and interventions for urethral sphincteric incontinence and incontinence resulting from detrusor compliance
Simple cystometry, (measuring post-void residuals and determining bladder capacity), has proved particularly useful in detecting abnormalities of detrusor compliance
and contractility, especially when the cause of incontinence is unclear.