Neurourology & Urodynamics

Neurourology is the study of how the nervous system affects the urinary system. The brain, spinal cord and nerves are very important to the healthy function of the bladder. Neurological diseases and disorders such as multiple sclerosis, Parkinson's disease, stroke and spinal cord injury can disrupt the lower urinary tract and result in conditions such as urinary incontinence and the inability to urinate. Birth conditions such as spina bifida also cause neurological dysfunction of bladder control. Neurogenic bladder is a term applied to a malfunctioning urinary bladder due to neurologic dysfunction or injury. Urodynamic testing is any procedure that looks at how well the bladder, sphincters, and urethra are storing and releasing urine. Most urodynamic tests focus on the bladder’s ability to hold urine and empty steadily and completely. Urodynamic tests can also show whether the bladder is having involuntary contractions that cause urine leakage. A health care provider may recommend urodynamic tests if symptoms suggest problems with the lower urinary tract. Urodynamic tests range from simple observation to precise measurements using sophisticated instruments. Intestinal surgery congress for simple observation, a health care provider may record the length of time it takes a person to produce a urinary stream, note the volume of urine produced, and record the ability or inability to stop the urine flow in midstream.

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