OAB in Special Populations Objectives: Elimination Syndromes, Primary Vesicoureteral Reflux and Urinary Tract Infections in Children
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QuEstion onE REFEREnCEs: 8. O’Flynn KJ, Murphy R,Thomas DG. Neurogenic bladder dysfunction in lumbar Continuing MediCal eduCation ProjeCt: 1. Vega, P.J. and L.A. Pascual, High-pressure bladder: an underlying factor mediating renal intervertebral disc prolapse. Br J Urol 1992.;69:38-40. Learning damage in the absence of reflux? BJU Int, 2001. 87(6): p. 581-4. 9. Yamanishi T, Yasuda K,Yuki T, Sakakibara R, Uchiyama T, Kamai T, Tsujii T, Yoshida K. 2. Koff, S.A., T.T. Wagner, and V.R. Jayanthi, The relationship among dysfunctional Urodynamic evaluation of surgical outcome in patients with urinary retention due to central OAB In Special Populations Objectives: elimination syndromes, primary vesicoureteral reflux and urinary tract infections in children. lumbar disc prolapse. Neurouro Urodyn 2003, 22: 670-675. 1. To understand the risk factors J Urol, 1998. 160(3 Pt 2): p. 1019-22. 10. Inui Y, Doita M, Ouchi K, Tsukuda M, Fujita N, Kurosaka M. Clinical and radiological Craig V. 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To be able to distinguish in multiple sclerosis. Neurourol Urodyn. 1995: 14:81-5. 8. Bauer SB: Early evaluation and management of children with spina bifida. In King LR [ed]: neurogenic versus non- Urologic Surgery in Neonates and Young Infants. Philadelphia, WB Saunders, 1988, 15. Koldewijn EL, Hommes OR, Lemmens WA, Debruyne FM, van Kerrebroeck PE. pp 252–264. Relationship between lower urinary tract abnormalities and disease-related parameters in neurogenic causes of 9. Wilcock AR, Emery JL: Deformities of the renal tract in children with myelomeningocele multiple sclerosis. J Urol. 1995 Jul: 154:169-73. overactive bladder symptoms. and hydrocephalus, compared with those children showing no such deformities. Br J Urol 16. Mayo ME, Chetner MP. Lower urinary tract dysfunction in multiple sclerosis. Urology. 42:152-9, 1970. 1992 Jan: 39:67-70. 10. Hunt GM, Whitaker RH: The pattern of congenital renal anomalies associated with 17. Porru D, Campus G, Garau A, et al. Urinary tract dysfunction in multiple sclerosis: is there a relation with disease-related parameters? Spinal Cord. 1997 Jan: 35:33-6. neural tube defects. Dev Med and Child Neurol 29:91-5, 1987. QUESTIOn 1: Which of the following groups of children with overactive bladder symptoms 11. Yeung CK, Sihoe JDY. Voiding dysfunction in children: non-neurogenic and neurogenic. 18. Litwiller SE, Frohman EM, Zimmern PE. Multiple sclerosis and the urologist. J Urol. In: Wein AJ, Kavoussi LR, Novick AC, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 1999 Mar: 161:743-57. and urinary incontinence should have specialist management from the outset of their evaluation? 9th ed. Philadelphia, PA: Saunders Elsevier; 2007, pp. 3604-3625. QuEstion FouR REFEREnCEs: A. Associated vesicoureteral reflux QuEstion two REFEREnCEs: 1. Resnick, N.M. & Yalla, S.V. (1985). Management of Urinary Incontinence in the Elderly. B. Associated urinary tract infections 1. Diokno, A.C. et al. 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J Wound Ostomy Continence Nurs 33, Enuresis. Scandinavian Journal of Urology & Nephrology, 34: 270, 2000. 624-629 (2006). 3. Neveus, T., Hetta, J., Cnattingius, S. et al.: Depth of sleep and sleep habits among enuretic QUESTIOn 2: Which of the following behavioral interventions have been shown to be 4. Loening-Baucke, V. & Anuras, S. Effects of age and sex on anorectal manometry. and incontinent children. Acta Paediatrica, 88: 748, 1999. American Journal of Gastroenterology 80, 50-53 (1985). 4. Hjalmas, K., Arnold, T., Bower, W. et al.: Nocturnal enuresis: an international evidence effective for frail older people with cognitive and physical impairment for ameliorating the symptoms 5. Ostaszkiewicz, J., Johnston, L. & Roe, B. Timed voiding for the management of urinary based management strategy. Journal of Urology, 171: 2545, 2004. of overactive bladder (OAB) and urge incontinence? incontinence in adults. Cochrane Database of Systematic Reviews, CD002802 (2004). 5. Al-Waili, N. S.: Increased urinary nitrite excretion in primary enuresis: effects of A. Timed voiding 6. Schnelle, J.F., MacRae, P.G., Ouslander, J.G., Simmons, S.F. & Nitta, M. Functional indomethacin treatment on urinary and serum osmolality and electrolytes, urinary volumes Incidental Training, mobility performance, and incontinence care with nursing home and nitrite excretion. BJU International, 90: 294, 2002. B. Habit training residents. Journal of the American Geriatrics Society 43, 1356-1362 (1995). 6. Glazener, C. M., Evans, J. H., Peto, R. E.: Alarm interventions for nocturnal enuresis in C. children.[update in Cochrane Database Syst Rev. 2005;(2):CD002911; PMID: 15846643] Combined toileting and exercise therapy 6. van Houten, P., Achterberg, W. & Ribbe, M. Urinary incontinence in disabled elderly D. women: a randomized clinical trial on the effect of training mobility and toileting skills to [update of Cochrane Database Syst Rev. 2001;(1):CD002911; PMID: 11279776]. 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QUESTIOn 3: Which of the following neurologic diseases are typically associated with 2. Cacabelos R, Rodriguez B, Carrrera C, Caamano J, Beyer K, Lao JI et al.: APOE-related 9. Tullus, K., Bergstrom, R., Fosdal, I. et al.: Efficacy and safety during long-term treatment frequency of cognitive and noncognitive symptoms in dementia. Methods Find Exp Clin of primary monosymptomatic nocturnal enuresis with desmopressin. Swedish Enuresis Trial OAB symptoms? Group. Acta Paediatrica, 88: 1274, 1999. Pharmacol 1996; 18:693-706. A. Alzheimer’s disease 3. Carlo A, Lamassa M, Baldereschi M, Pracucci G, Basile AM, Wolfe CD, et al. Sex differences 10. Robson, W. L., Shashi, V., Nagaraj, S. et al.: Water intoxication in a patient with the in the clinical presentation, resource use, and 3-month outcome of acute stroke in Europe: data Prader-Willi syndrome treated with desmopressin for nocturnal enuresis. Journal of Urology, B. Cerebrovascular accident from a multicenter multinational hospital-based registry. Stroke. 2003 May;34(5):1114-9. 157: 646, 1997. C. Multiple sclerosis 4. Sakakibara R, Hattori T, Yasuda K, Yamanishi T. Micturitional disturbance after acute 11. Neveus, T.: Oxybutynin, desmopressin and enuresis. Journal of Urology, 166: 2459, 2001. D. hemispheric stroke: analysis of the lesion site by CT and MRI. J Neurol Sci. 1996 12. Kosar, A., Arikan, N., Dincel, C.: Effectiveness of oxybutynin hydrochloride in the Cauda equine syndrome Apr;137(1):47-56.