By rray, 12 July, 2024 Suprapubic tube SPT nbsp nbsp Preferred option due to darr likelihood of urethral damage nbsp nbsp Risks bowel perforation and vascular injury which can be mitigated w routine use of U S guided SPT placement development of granulation tissue bleeding cath
By rray, 12 July, 2024 Urethral cath nbsp nbsp Risks urethral trauma including erosion and in severe cases urethral loss significant urinary incontinence need for reconstructive surgery nbsp nbsp Regular f u needed to detect potential signs of urethral trauma nbsp nbsp Increasi
By rray, 12 July, 2024 In severely affected pts who haven t responded to other tx options may offer bladder augmentation cystoplasty or urinary diversion EO
By rray, 12 July, 2024 Weigh risks of short and long term surgical morbidity need for CIC for continent diversions or bladder augmentation and absence of data on QOL outcomes
By rray, 12 July, 2024 If inadequate response to pharmacotherapy or minimally invasive therapies may perform urodynamics UDS to further evaluate bladder function and exclude other disorders CP
By rray, 12 July, 2024 DO may represent a different OAB phenotype correlates w worse sx and greater QOL impairment
By rray, 12 July, 2024 Consider if suspicion of poor bladder compliance Pts may not respond as well to medical or interventional OAB tx and need surgical procedures e g bladder augmentation to achieve sx resolution
By rray, 12 July, 2024 If mixed urinary incontinence or unaware incontinence UDS voiding diary may give clues on bladder sensation DO presence and characteristics volume at which incontinence occurs and stress leak point pressure
By rray, 12 July, 2024 May be esp helpful if suspicious of other diagnoses e g BOO SUI acontractile or underactive detrusor that presents w OAB sx
By rray, 12 July, 2024 If sx have worsened or not adequately improved after intradetrusor BTX injection obtain PVR CP