vesicosphincter dyssynergia

vesicosphincter dyssynergia

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While routine multichannel urodynamics testing enables the clinician to identify and assess the severity of obstruction and the presence of vesicosphincter dyssynergia when pelvic floor EMG is assessed, videourodynamic imaging allows the clinician to localize the level of obstruction and the associated etiology.
Finally, the urodynamic clinician inspects the response of the EMG to voiding to differentiate relaxation of the striated sphincter (normal voiding response) versus vesicosphincter dyssynergia.
Figure 5 illustrates bladder outlet obstruction caused by vesicosphincter dyssynergia.
Neurogenic detrusor overactivity occurs in patients with neurogenic bladder dysfunction associated with a known neurological disease or disorder; it is frequently associated with vesicosphincter dyssynergia in patients with spinal disorders, such as spinal cord injury or multiple sclerosis (see Figure 5).