Nörolojik hastalıklarda üriner inkontinans tanı ve tedavi yöntemleri
Üriner inkontinans her yaş grubunu etkileyen patolojik olduğu kadar fizyolojik yaşlanma sürecinde de karşılaşılabilen bir rahatsızlıktır. Bu hastaların tanı ve tedavisi multidisipliner yaklaşım gerektirir. Son yıllarda hem nöroürolojinin bir yan dal halini alarak hastaların daha ayrıntılı incelenmesi hem de gelişen tanı ve tedavi teknikleri nedeniyle üriner inkontinanslı hastalara daha kaliteli yaşam sunma şansı artmıştır. Nörolojik bozukluğu olan hastaların nörolojik bilimlerde yaşanan gelişmelerle artan yaşam süresi nedeniyle nöroürolojinin ilgi alanına giren hasta sayısında da artış olmuştur. Nörolojik bir hastalığa bağlı üriner inkontinanslı hasta değerlendirilirken; fizik muayene, idrar analizi ve üroflow çalışmaları yanında çok iyi bir nöroanatomik ve nörofizyolojik evaluasyon gerekliliğinin farkında olunmalıdır. Bu da multidisipliner yaklaşımla mümkün olmaktadır. Burada nörolojik rahatsızlığa bağlı inkontinansı olan hastalarla ilgili tanı, tedavi ve reha-bilitasyon yöntemleri konusunda son literatür bilgileri tartışılmıştır.
Diagnostic and therapeutic modalities in urinary incontinence associated with neurological abnormalities
Urinary incontinance is both a physiologic and a pathologic phenomenon in different age and population groups. Diagnosis and treatment of incontinent patients is required an interdisciplinary approach. In the last years, a great scientific progress in the area of neurourology offers patients with severe dysfunction of the lower urinary tract new concepts to improve their urological problems. Increased survival of patients with the technological and therapeutic advances in neurological abnormalities increased the neurourology patient population. To handle urinary incontinance abnormality in a patient with neurological disease, one have to familiar with neurourological anatomy, neurophysiological studies, as well as the urodynamic studies and urinanalysis. Such a familiarity necessitiates multidisciplinary approach. In here, we have discussed the urinary incontinance associated with neurological abnormalities with the relevant recent literature for the diagnosis, therapeutic algorithm and rehabilitation in urinary incontinance.
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