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Medical Devices For Neurogenic Bladder

M A Khan, А I Chubarova, I V Pogonchenkova, M A Rassulova, E Y Sergeenko, E L Vakhova, N A Lyan, N A Mikitchenko
This literature review is focused on the application of polychromatic and monochromatic polarized light for the treatment of various diseases of the childhood including those in the newborns and the premature babies. The analysis of the data of scientific research gives evidence of the beneficial effect of polychromatic polarized light on the clinical course of various skin diseases in the newborn children. Moreover, the improved immunological and reparative processes were revealed after the surgical interventions for congenital heart defects in the newborns...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
J Bremer, B Domurath, R Böthig, A Kaufmann, V Geng
BACKGROUND: Using the CE mark of therapeutic appliances is, on its own, not sufficient enough for their appropriate and effective application. In order to treat the patient successfully, not jeopardizing the success of the treatment, medical quality criteria for therapeutic appliances care are necessary to acceptably compensate for a patient's disabilities. OBJECTIVES: Medical quality criteria are formulated for the most frequently used urological aids and devices, considering hygienic requirements, international literature and the practical experience of physicians and nurses with regard to the care of patients with neurogenic urinary bladder dysfunction...
February 2018: Der Urologe. Ausg. A
Camille Morlière, Elise Verpillot, Laurence Donon, Louis-Rachid Salmi, Pierre-Alain Joseph, Jean-Rodolphe Vignes, Antoine Bénard
BACKGROUND CONTEXT: Sacral anterior root stimulation (SARS) and posterior sacral rhizotomy restores the ability to urinate on demand with low residual volumes, which is a key for preventing urinary complications that account for 10% of the causes of death in patients with spinal cord injury with a neurogenic bladder. Nevertheless, comparative cost-effectiveness results on a long time horizon are lacking to adequately inform decisions of reimbursement. PURPOSE: This study aimed to estimate the long-term cost-utility of SARS using the Finetech-Brindley device compared with medical treatment (anticholinergics+catheterization)...
December 1, 2015: Spine Journal: Official Journal of the North American Spine Society
Robert M Shavelle, David R Paculdo, Linh M Tran, David J Strauss, Jordan C Brooks, Michael J DeVivo
OBJECTIVE: Previous research on the life expectancy of persons with American Spinal Injury Association (ASIA) Impairment Scale Grade D spinal cord injury has considered them as a large homogenous group, making no functional or medical distinctions. This study sought to (1) determine how survival in this group depends on ambulatory function and the extent of bowel or bladder dysfunction, (2) compute life expectancies for various subgroups, and (3) examine whether survival has improved over time...
March 2015: American Journal of Physical Medicine & Rehabilitation
G Poinas, S Droupy, K Ben Naoum, M Boukaram, L Wagner, L Soustelle, P Costa
OBJECTIVE: To analyze long-term results and mechanical survival of the artificial urinary sphincter (AUS) AMS 800™ (American Medical Systems, Minnetonka, MN, USA) in women with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD). PATIENTS AND METHODS: Data were collected prospectively from women treated for SUI at one university hospital between 1987 and 2007. Inclusion criteria was SUI with severe ISD defined by low urodynamic closure pressure and negative continence tests...
May 2013: Progrès en Urologie
J N Cornu
Overactive bladder (OAB) is defined by its hallmark symptom, urgency. It can be associated with urge urinary incontinence (UUI), and dramatically impact the patients' quality of life. Etiologies of OAB are numerous, and under this common wording, virtually all the population is covered (men as well as women, patients with or without neurogenic disease, and all age categories). OAB and UUI management have been historically based on non-interventional therapies, antimuscarinics, and surgery. In the last decade, innovations in the treatment of this highly prevalent condition have been multiple, and further insights came from various horizons (drug invention, innovative use of existing drugs, new medical devices, tissue engineering, gene and cell therapy)...
March 2013: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
(no author information available yet)
OBJECTIVE: The aim of this review was to assess the clinical utility of portable bladder ultrasound. CLINICAL NEED: TARGET POPULATION AND CONDITION Data from the National Population Health Survey indicate prevalence rates of urinary incontinence are 2.5% in women and 1.4 % in men in the general population. Prevalence of urinary incontinence is higher in women than men and prevalence increases with age. Identified risk factors for urinary incontinence include female gender, increasing age, urinary tract infections (UTI), poor mobility, dementia, smoking, obesity, consuming alcohol and caffeine beverages, physical activity, pregnancy, childbirth, forceps and vacuum-assisted births, episiotomy, abdominal resection for colorectal cancer, and hormone replacement therapy...
2006: Ontario Health Technology Assessment Series
(no author information available yet)
OBJECTIVE: The aim of this review was to assess the effectiveness, safety, and cost of sacral nerve stimulation (SNS) to treat urinary urge incontinence, urgency-frequency, urinary retention, and fecal incontinence. BACKGROUND: CONDITION AND TARGET POPULATION Urinary urge incontinence, urgency-frequency, urinary retention, and fecal incontinence are prevalent, yet rarely discussed, conditions. They are rarely discussed because patients may be uncomfortable disclosing their symptoms to a health professional or may be unaware that there are treatment options for these conditions...
2005: Ontario Health Technology Assessment Series
Y F Rawashdeh, P Austin, C Siggaard, S B Bauer, I Franco, T P de Jong, T M Jorgensen
PURPOSE: We present a consensus view of members of the International Children's Continence Society on the therapeutic intervention in congenital neuropatic bladder and bowel dysfunction in children. MATERIAL AND METHODS: Discussions were held by a group of pediatric urologists and gastroenterologists appointed by the board. The following draft review document was open to all the ICCS members via the ICCS web site. Feedback was considered by the core authors and by agreement, amendments were made as necessary...
June 2012: Neurourology and Urodynamics
S M Sharkov, S P Iatsik, N V Bolotova, Iu M Raĭgorodskiĭ, O M Konova, E N Tkacheva
The results of the treatment of 38 children (6 boys and 32 girls, age 6-14 years) with chronic pyelonephritis and/or cystitis complicated with neurogenic dysfunction of the urinary bladder (NDUB) and/or vesicoureteral reflux (VUR) of the first-third degree demonstrate efficacy of intravesical electrostimulation (IVES) and adrenal magnetotherapy. IVES was conducted with high-frequency current impulses (2.2 kHz) by means of INTRASTIM attachment to the device AMUS-01-INTRAMAG in the region of the urethrovesical anastomosis via solution of the drugs for instillation...
November 2011: Urologii︠a︡
Pierre Costa, Gregoire Poinas, Kamel Ben Naoum, Khalid Bouzoubaa, Laurent Wagner, Laurent Soustelle, Michel Boukaram, Stéphane Droupy
BACKGROUND: The use of the artificial urinary sphincter (AUS) in women is limited. OBJECTIVE: To analyse long-term results and mechanical survival of the AUS (AMS 800; American Medical Systems, Minnetonka, MN, USA) in women with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD). DESIGN, SETTING, AND PARTICIPANTS: Women with SUI who were treated between January 1987 and March 2007 were included in this prospective study...
April 2013: European Urology
Kristjan T Ragnarsson
There are many different paths that lead to an academic physiatric career and a lifelong interest in spinal cord injury (SCI) medicine. It is unfortunate that after decades of cellular-based research in multiple laboratories, there are still no interventions available that can reverse the neurologic loss that follows SCI. In contrast, medical rehabilitation research during the last 40 yrs has led to remarkable improvements in the lives of persons with SCI as evident in their increased life expectancy, shorter hospitalizations, fewer rehospitalizations, and more effective treatments for male sexual dysfunction and fertility, as well as spasticity, heterotrophic ossification, and neuropathic pain...
March 2012: American Journal of Physical Medicine & Rehabilitation
G Schalow, P Jaigma, V K Belle
The present paper explains how an 18 year-old boy, who suffered an incomplete spinal cord injury (SCI) at the Cervical 5/6 levels, could achieve a near-complete recovery within 3 years of coordination dynamics therapy (CDT). The anatomically incomplete SCI was evident on MRI (Magnetic Resonance Imaging) which showed that 50% of the cord tissue was destroyed at the injury site. The administered CDT included the training of crawling, walking, running, jumping, and exercising on special CDT devices. Now 21 years old, this chronically injured young man cannot only walk independently, but he can also run and jump...
March 2009: Electromyography and Clinical Neurophysiology
Stephen A Black
An overview of the evolution of challenged athlete participation in sports is presented, and specifically as it relates to triathlon participation. Currently there is little literature relative to sports participation for the physically challenged athlete. There is credibility for sports participation for the physically challenged relative to physical, mental, and social issues. Positive aspects of competitive sports for the challenged athlete are apparent to any health professional who has had the opportunity to witness first hand the growth in self-confidence, enhanced self-image, and all around maturity that accompanies those participating in sport...
June 2007: Current Sports Medicine Reports
Jianhuo Wang, Chunlin Hou, Wanhong Wang, Xianyou Zheng, Zhen Xu
OBJECTIVE: To investigate the biocompatibility of silica gel embedded permanent magnets of the micturition alert device dedicated to neurogenic bladder. METHODS: According to the national standards of biological evaluation of medical equipment (GB/T 16886), Shanghai Biomaterial Research and Test Center was confined to evaluate the biocompatibility of silica gel embedded permanent magnets both in vitro and in vivo, including cytotoxicity test, sensitization test, primary skin irritant test and acute general toxicity test...
September 2008: Chinese Journal of Reparative and Reconstructive Surgery
Jacques Corcos, Jerzy Gajewski, Diane Heritz, Allan Patrick, Ian Reid, Erik Schick, Lynn Stothers
OBJECTIVE: To develop the first Canadian guidelines for the management of adult urinary incontinence (UI). METHOD: Following a mandate of the Canadian Urological Association, six Canadian urologists collaborated to produce these guidelines after having extensively reviewed existing foreign guidelines and literature from 1966 to June 2005. RESULTS: The terminology proposed by the standardization committee of the International Continence Society (ICS) is recommended...
June 2006: Canadian Journal of Urology
J R Vignes, M De Seze, E Dobremez, P A Joseph, J Guérin
Vesico-urethral dysfunction is a major problem in daily medical practice due to its psychological disturbances, its social costs and its high impact on quality of life. Recently, sacral neuromodulation, namely the electrical stimulation of the sacral nerves, appears to have become an alternative for radical bladder surgery particularly in cases of idiopathic bladder overactivity. The mechanism of action is only partially understood but it seems to involve a modulation in the spinal cord due to stimulation of inhibitory interneurons...
2005: Advances and Technical Standards in Neurosurgery
Paul W McDonough, Rick Davis, Clifford Tribus, Thomas A Zdeblick
STUDY DESIGN: A retrospective review of a consecutive series of patients with acute thoracolumbar burst fractures who were surgically treated with an anterior corpectomy and fusion with anterolateral Z-plate fixation. OBJECTIVES: To evaluate the clinical and radiographic success of the management of acute thoracolumbar burst fractures by corpectomy, structural grafting, and anterolateral internal fixation. SUMMARY OF BACKGROUND DATA: Burst fractures are frequently associated with instability or neurologic deficit...
September 1, 2004: Spine
S Siracusano, S Ciciliato, P Di Benedetto, D Marega, A Tiberio, F Stacul
STUDY DESIGN: Case report of an unusual use of AMS 800 (American Medical Systems, Inc., Minnetonka, Minnesota) artificial urinary sphincter cuff in a female patient affected by neurogenic urinary incontinence. OBJECTIVE: To describe this rare surgical solution. SETTING: Department of Urology in Italy. METHODS: A 43-year-old woman affected by flaccid paraplegia, acontractile bladder and incompetent bladder neck, underwent an implantation of an artificial urinary sphincter AMS 800...
November 2004: Spinal Cord
S Murphy, D Rea, J O'Mahony, T E D McDermott, J Thornhill, M Butler, R Grainger
AIM: To compare the efficacy and functional durability of the American Medical Systems 800 (AMS 800) artificial urinary sphincter (AUS) device for patients with neurogenic and non-neurogenic incontinence. METHODS: From 1985 to 2000, 38 patients underwent implantation of an AMS 800 AUS at our institution. Thirty of these patients had complete records and follow-up data available. The mean follow-up for these two groups of patients was six years. Seventeen devices (57%) were implanted for non-neurogenic indications including incontinence after prostatectomy or hysterectomy...
July 2003: Irish Journal of Medical Science
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