Different patterns of NB can that can be obtained on UDX testing including detrusor hyperreflexia/ overactivity (DO) which is defined as the urodynamic finding characterized by involuntary detrusor contraction, detrusor hyporeflexia/ areflexia/ acontractility (DA) which is defined as the urodynamic finding characterized by no or weak detrusor contraction, and detrusor sphincter dyssynergia
(DSD) defined as the urodynamic finding characterized by simultaneous contractions of both detrusor and urethral sphincter9-12.
The findings suggest that neurogenic bladder due to neuro-Behcet disease is characterized uro-dynamically by overactive detrusor in storage phase and detrusor sphincter dyssynergia
in voiding phase 12.
In patients with neurogenic disorders, EMG is used to diagnosing detrusor sphincter dyssynergia
Placebo-controlled, randomized, double-blind study of the effects of botulinum A toxin on detrusor sphincter dyssynergia
in multiple sclerosis patients.
After the period of spinal shock, complete suprasacral injuries result in detrusor hyperreflexia and detrusor sphincter dyssynergia
(DSD) (1,2) and complete sacral injuries result in detrusor areflexia (3).
features of functional bladder outlet obstruction on electromyography, such as detrusor sphincter dyssynergia
Problems reported in some patients included detrusor sphincter dyssynergia
(high urethral resistance), poor voiding responses, leg contractions, and pain.
Patients with poor bladder compliance, detrusor sphincter dyssynergia
or outlet obstruction can develop a functional obstruction due to raised intravesical pressures.
Joy and Johnston (2001) suggest that 90% of people with MS experience bladder dysfunction at some point; detrusor hyperreflexia, detrusor sphincter dyssynergia
, and detrusor areflexia are the three most common types.
Botox has also been studied in detrusor sphincter dyssynergia
(DSD), which causes urinary urgency, frequency, incontinence, difficulties emptying the bladder, and urinary infections in people with MS.
AD can also result from bladder inflammation (cystitis) with bleeding, stones, distension of the urethra, pressure on or twisting of testicles, and detrusor sphincter dyssynergia
(interruption or blockage of urine flow due to a mismatch in the timing of contraction of the external sphincter muscle and the detrusor muscle).
Therapeutic satisfaction and dissatisfaction in patients with spinal cord lesions and detrusor sphincter dyssynergia
who received detrusor botulinum toxin A injection.