The Urologic Clinics of North America 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.A Primer for Primary Care Physicians Managing Neurogenic Bladder Patients
Urol Clin North Am. 2024 May;51(2):305-311. doi: 10.1016/j.ucl.2024.02.003. Epub 2024 Mar 12.ABSTRACTPrimary care plays an important role in caring for neurogenic bladder patients. Clinicians should assess neurogenic bladder patients for common urologic symptoms/signs and refer to urology if refractory or safety issues are identified.PMID:38609202 | DOI:10.1016/j.ucl.2024.02.003 (Source: The Urologic Clinics of North America)
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Humphrey O Atiemo John T Stoffel Source Type: research
Erratum
Urol Clin North Am. 2024 May;51(2):xiii. doi: 10.1016/j.ucl.2024.03.002. Epub 2024 Mar 12.NO ABSTRACTPMID:38609203 | DOI:10.1016/j.ucl.2024.03.002 (Source: The Urologic Clinics of North America)
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Source Type: research
The Neurourology Journey: From Pads to Jack Lapides and Intermittent Catheterization to Multidisciplinary Management
Urol Clin North Am. 2024 May;51(2):xv-xvi. doi: 10.1016/j.ucl.2024.02.009.NO ABSTRACTPMID:38609204 | DOI:10.1016/j.ucl.2024.02.009 (Source: The Urologic Clinics of North America)
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Kevin R Loughlin Source Type: research
Neurogenic Bladder: A Complex Puzzle with Multiple Pieces
Urol Clin North Am. 2024 May;51(2):xvii-xix. doi: 10.1016/j.ucl.2024.02.008. Epub 2024 Feb 28.NO ABSTRACTPMID:38609205 | DOI:10.1016/j.ucl.2024.02.008 (Source: The Urologic Clinics of North America)
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: John T Stoffel Source Type: research
Bladder-Related Quality of Life After Spinal Cord Injury: Findings from the Neurogenic Bladder Research Group Spinal Cord Injury Registry
Urol Clin North Am. 2024 May;51(2):163-176. doi: 10.1016/j.ucl.2024.02.004. Epub 2024 Mar 11.ABSTRACTThe Neurogenic Bladder Research Group (NBRG) was formed with the mission to optimize quality of life (QoL), surgical outcomes, and clinical care of patients with neurogenic lower urinary tract dysfunction. One of the original priorities of the organization was to support creation of the NBRG Spinal Cord Injury (SCI) Registry. The aim of this Registry was to establish a prospective database, in order to study bladder-related QoL after SCI. The study enrolled close to 1500 participants from across North America over an 18 mon...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Jeremy B Myers Jane T Kurtzman Source Type: research
Voiding Phase Dysfunction in Multiple Sclerosis: Contemporary Review of Terminology, Diagnosis, Management, and Future Directions
Urol Clin North Am. 2024 May;51(2):177-185. doi: 10.1016/j.ucl.2024.01.005. Epub 2024 Mar 4.ABSTRACTLower urinary tract symptoms (LUTS) are highly prevalent in individuals with multiple sclerosis (MS). However, assessment of these symptoms is often hindered by vague definitions or absence of screening in asymptomatic patients. It is crucial to exercise caution when applying the non-neurogenic definition of urinary retention in this population. For men with MS experiencing persistent and treatment-resistant LUTS, urodynamic studies should be used to identify the underlying causes of symptoms. Although numerous therapies are...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Catherine Frances Ingram John A Lincoln Rose Khavari Source Type: research
Barriers to Transitional Care in Spina Bifida
This article reviews key aspects of the care of patients with spina bifida, the impact of inadequate transition to adult care, barriers to transition, and offers a potential vision for the future.PMID:38609191 | DOI:10.1016/j.ucl.2024.01.006 (Source: The Urologic Clinics of North America)
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Catalina K Hwang Kelly T Harris Dan Wood Source Type: research
Sleep and Overactive Bladder in Parkinson's Disease
Urol Clin North Am. 2024 May;51(2):197-207. doi: 10.1016/j.ucl.2024.02.005. Epub 2024 Mar 10.ABSTRACTPatients with Parkinson's disease (PD) have disturbances in their bladder and sleep physiology that lead to nocturia and overactive bladder (OAB). These symptoms can be extremely bothersome and impact not only their quality of life (QoL) but also the QoL of their caretakers. We aim to highlight the changes in bladder and sleep physiology in PD and explore OAB/nocturia treatment strategies in this population.PMID:38609192 | DOI:10.1016/j.ucl.2024.02.005 (Source: The Urologic Clinics of North America)
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Yu Zheng Anne P Cameron Source Type: research
Bladder Compliance: How We Define It and Why It Is Important
Urol Clin North Am. 2024 May;51(2):209-220. doi: 10.1016/j.ucl.2023.12.001. Epub 2024 Jan 6.ABSTRACTBladder compliance is the relationship between detrusor pressure and bladder storage volume. We discuss the definition of compliance, how it may be accurately measured, and its clinical relevance. Specifically, we discuss the association between low compliance and upper urinary tract deterioration. We discuss medical and surgical therapies that have been demonstrated to improve compliance and reduce upper tract risk. Finally, we propose a model, which not only considers compliance but also differential pressure between the b...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Glenn T Werneburg John T Stoffel Source Type: research
Detrusor Sphincter Dyssynergia
Urol Clin North Am. 2024 May;51(2):221-232. doi: 10.1016/j.ucl.2024.01.001. Epub 2024 Feb 16.ABSTRACTDetrusor sphincter dyssynergia (DSD) is defined as a detrusor contraction concurrent with an involuntary contraction of the urethral and/or periurethral striated muscles typically occurring in a patient with a spinal cord lesion above the sacral cord. Consequently, high urethral closure pressures during the detrusor contraction leads to high intravesical voiding pressure and large postvoid residuals, which can lead to significant complications in up to 50% of patients if DSD is not treated and followed-up regularly. DSD tre...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Marc A Furrer Thomas M Kessler Jalesh N Panicker Source Type: research
Questionnaires for Neurogenic Lower Urinary Tract Dysfunction
This article discusses how to measure QOL and urinary symptoms in NLUTD and highlights various questionnaires such as the Qualiveen, Neurogenic Bladder Symptom Score (NBSS), and the Incontinence Quality of Life Questionnaire (I-QOL). These questionnaires focus on bladder-related QOL or symptoms and have been validated in multiple NLUTD populations. These tools are important for advancing research and the clinical care of NLUTD patients, and have the potential to impact decision-making and improve patient outcomes.PMID:38609195 | DOI:10.1016/j.ucl.2024.01.004 (Source: The Urologic Clinics of North America)
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Blayne Welk Source Type: research
An Overview of the Effect of Aging on the Female Urethra
Urol Clin North Am. 2024 May;51(2):239-251. doi: 10.1016/j.ucl.2024.02.001. Epub 2024 Mar 8.ABSTRACTUrethral function declines by roughly 15% per decade and profoundly contributes to the pathogenesis of urinary incontinence. Individuals with poor urethral function are more likely to fail surgical management for stress incontinence that focus on improving urethral support. The reduced number of intramuscular nerves and the morphologic changes in muscle and connective tissue collectively impact urethral function as women age. Imaging technologies like MRI and ultrasound have advanced our understanding of these changes. Howev...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Andrew S Afyouni Yi Xi Wu Ulysses G J Balis John DeLancey Zhina Sadeghi Source Type: research
Urinary Catheters: Materials, Coatings, and Recommendations for Selection
Urol Clin North Am. 2024 May;51(2):253-262. doi: 10.1016/j.ucl.2024.01.003. Epub 2024 Feb 9.ABSTRACTUrinary catheters have been used for more than 3000 years, although materials have changed from wood to silver to rubber. Research continues to try and find the optimal catheter materials, which improve safety and quality of life. Advantages when comparing newer catheter materials are not always obvious but catheters coated with a hydrophilic layer may reduce urethral trauma and the incidence of urinary tract infections. However, extrapolation of the data is limited by lack of end-point standardization and heterogenous popul...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: John T Stoffel Lisa Yu Source Type: research
The Role of Upper Extremity Motor Function in the Choice of Bladder Management in Those Unable to Volitionally Void due to Neurologic Dysfunction
Urol Clin North Am. 2024 May;51(2):263-275. doi: 10.1016/j.ucl.2024.01.002. Epub 2024 Feb 18.ABSTRACTIt is estimated that 425,000 individuals with neurologic bladder dysfunction (spinal cordinjury, spina bifida and multiple sclerosis) are unable to volitionally void and must rely oncatheter drainage. Upper extremity (UE) motor function is one of the most important factors indetermining the type of bladder management chosen in individuals who cannot volitionally void. Novel bladder management solutions for those with impaired UE motor function and concurrent impairments involitional voiding continue to be an area of need. T...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Michael Juszczak Kazuko Shem Christopher S Elliott Source Type: research
Integrating Patient Preferences with Guideline-Based Care in Neurogenic Lower Urinary Tract Dysfunction After Spinal Cord Injury
Urol Clin North Am. 2024 May;51(2):277-284. doi: 10.1016/j.ucl.2024.02.002. Epub 2024 Mar 7.ABSTRACTIndividual and social factors are important for clinical decision-making in patients with neurogenic bladder secondary to spinal cord injury (SCI). These factors include the availability of caregivers, social infrastructure, and personal preferences, which all can drive bladder management decisions. These elements can be overlooked in clinical decision-making; therefore, there is a need to elicit and prioritize patient preferences and values into neurogenic bladder care to facilitate personalized bladder management choices. ...
Source: The Urologic Clinics of North America - April 12, 2024 Category: Urology & Nephrology Authors: Vivian Wong Giulia M Ippolito Irene Crescenze Source Type: research
