Management of detrusor–external sphincter dyssynergia
Hashim U Ahmed, Iqbal S Shergill*, Manit Arya and P Julian R Shah
Correspondence *Institute of Urology and Nephrology, University College London, 48 Riding House Street, London W1W 7EY, UK
Email super_iqi@yahoo.co.uk
Disruption of the neural pathways following spinal cord injury can cause detrusor–external sphincter dyssynergia (DSD), where patients have a low capacity bladder with high intravesical pressure. The main aims of treatments for DSD are to reduce intravesical pressure and to improve bladder drainage. This Review discusses the different strategies for managing DSD and their relative merits in this patient population.
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