Voiding dysfunction is a term for a collection of significant medical problems involving urinary incontinence, excessive urgency and frequency of urination, and incomplete emptying of the bladder, conditions that afflict many millions of Americans today and will become an ever more pressing concern with the "graying" of America. In Voiding Dysfunction: Diagnosis and Treatment, Rodney Appell, MD, and a host of respected clinical experts comprehensively summarize the state-of-the-art in the diagnosis and treatment of both neurogenic and nonneurogenic urinary problems in males and females alike. Tailored for use by today's busy practicing urologists, as well as all frontline physicians, this book provides the essential physiological background for classifying voiding dysfunctions, surveys the practical diagnostics for these dysfunctions, and reviews the available treatments, including pharmacologic therapy, electrical stimulation, and surgery. Special attention is paid to neurological problems that adversely affect voiding functions, among them stroke, MS, diabetes, and lumbar disc and spinal cord disorders. Urinary incontinence and retention, bladder outlet obstruction, and postprostatectomy incontinence are also fully examined. Informative, practical, and clinically relevant, Voiding Dysfunction: Diagnosis and Treatment brings to every physician's treatment room a first-class compendium of the latest scientific facts, the best methods of diagnosis, and the most appropriate and effective treatments for these disturbingly widespread disorders
CONTENT
I. Introduction -- 1 Pathophysiology and Classification of Voiding Dysfunction -- 2 Voiding Dysfunction: Diagnostic Evaluation -- II. Neurogenic Vesico-Urethral Dysfunction -- 3 Cerebrovascular Accidents -- 4 Multiple Sclerosis -- 5 Diagnosis and Treatment of Spinal Cord Injuries and Myeloneuropathie -- 6 Diabetic Bladder Dysfunction -- 7 Lumbar Disc Disease -- III. Female Voiding Dysfunction -- 8 Treatment of Stress Urinary Incontinence -- 9 Urinary Retention in Women -- IV. Male Voiding Dysfunction -- 10 Bladder Outlet Obstruction in Males -- 11 Post-Prostatectomy Incontinence -- V. Treatment Modalities -- 12 Clinical Pharmacology -- 13 Treatment of Detrusor Instability with Electrical Stimulation -- 14 Treatment of Detrusor Instability with Augmentation Cystoplasty
