title: Improving Outcomes in Patients With Refractory Idiopathic and Neurogenic Detrusor Overactivity: Management Strategies.
abstract: Neurogenic detrusor overactivity (NDO) is a lower urinary tract dysfunction commonly seen in rehabilitation settings. The emotional, medical, and financial consequences of NDO can be substantial and management typically requires a multidisciplinary team approach. Physiatrists need to be able to identify patients who require referral to specialists for diagnostic testing or higher-tiered treatment and need to engender open lines of communication between their patients and all treating clinicians. This requires an understanding of the evaluation, diagnosis, and treatment of neurogenic lower urinary tract dysfunctions.
authors: Department of Urology, University of Southern California, Los Angeles, CA; Rancho Los Amigos National Rehabilitation Center, Downey, CA. Electronic address: Ginsberg@med.usc.edu.
authors: David A
authors: DA
authors: Ginsberg
authors: Boca Raton, FL.
authors: Lynne Kolton
authors: LK
authors: Schneider
authors: Department of Physical Medicine and Rehabilitation, Temple University School of Medicine, Philadelphia, PA; Drucker Brain Injury Center, Moss Rehab at Elkins Park, Elkins Park, PA.
authors: Thomas K
authors: TK
authors: Watanabe
mesh_terms: D058667:Adrenergic beta-3 Receptor Agonists / Q000627:therapeutic use; D003142:Communication; D006233:Persons with Disabilities / Q000534:rehabilitation*; D006801:Humans; D018727:Muscarinic Antagonists / Q000627:therapeutic use; D009422:Nervous System Diseases / Q000150:complications; D009465:Neuromuscular Agents / Q000627:therapeutic use; D010817:Physician-Patient Relations; D004561:Transcutaneous Electric Nerve Stimulation; D053201:Urinary Bladder, Overactive / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
chemical_list: D058667:Adrenergic beta-3 Receptor Agonists; D018727:Muscarinic Antagonists; D009465:Neuromuscular Agents
keywords: Botulinum toxins, type A; Lower urinary tract symptoms; Rehabilitation; Spinal cord diseases; Urinary bladder; Urinary incontinence