The Underactive Bladder
This book provides up-to-date guidance on optimal care of the patient with an underactive bladder. It covers all aspects of management, including clinical evaluation, urodynamic diagnosis, standard care, drug therapy, and emerging treatment options. Nursi
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Michael B. Chancellor Ananias C. Diokno Editors
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The Underactive Bladder
Michael B. Chancellor • Ananias C. Diokno Editors
The Underactive Bladder
Editors Michael B. Chancellor Department of Urology Oakland University William Beaumont School of Medicine Royal Oak, MI USA
Ananias C. Diokno Department of Urology Oakland University William Beaumont School of Medicine Royal Oak, MI USA
ISBN 978-3-319-23686-5 ISBN 978-3-319-23687-2 DOI 10.1007/978-3-319-23687-2
(eBook)
Library of Congress Control Number: 2015956541 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Foreword
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Foreword
While most practitioners are familiar with overactive bladder (OAB), the converse condition of underactive bladder has generally remained far below the radar. Yet if you have known anyone struggling with underactive bladder (UAB), you are keenly aware of the suffering they and their family endure. Underactive bladder is a life-altering condition that dramatically effects a patient’s and his or her family’s lives. UAB is a name given to a group of troubling symptoms including hesitancy, weak and or interrupted urine stream, straining, incomplete bladder emptying, and frequent urination or leakage due to overflow incontinence. The symptoms and severity of UAB vary between patients, and the course of the disease is often unpredictable. UAB is a multifactorial condition that can be caused by myogenic and neurogenic conditions as well as aging and medication side effects. UAB is closely related to detrusor underactivity, which is a clinical and specific urodynamic definition. Detrusor underactivity due to impaired detrusor contractility is the most classic pathology of the underactive bladder. Diseases such as diabetes and heart disease or condi
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