Subject(s)
Mesothelioma/pathology , Testicular Neoplasms/pathology , Aged , Humans , Male , Testis/pathologyABSTRACT
Incontinence is defined by the International Continence Society (Bates et al, 1979) as an involuntary loss of urine which can be objectively demonstrated and causes a social or hygienic problem. It is therefore both a symptom and a sign. Medical and surgical treatments are available and radiological investigation is helpful in many patients.
Subject(s)
Urinary Incontinence/diagnostic imaging , Adult , Child , Enuresis/diagnostic imaging , Humans , Prostheses and Implants , Urethral Obstruction/diagnostic imaging , Urinary Bladder, Neurogenic/diagnostic imaging , Urinary Diversion , Urinary Incontinence/surgery , Urinary Incontinence, Stress/diagnostic imaging , Urodynamics , Urography , Vesico-Ureteral Reflux/diagnostic imagingABSTRACT
Ten men with longstanding idiopathic Parkinson's disease (IPD) were investigated by urodynamic and electromyographic methods. The urodynamic studies were repeated after stopping anti-Parkinsonian medication for several hours. All patients showed a difference between the two studies, but the changes were unpredictable. Three patients who had high residual urine volumes in both studies were thought to have prostatic obstruction. EMG analysis showed no evidence of a lower motor neurone lesion affecting the striated urethral sphincter. It was concluded that micturition difficulty in the patient with IPD is due to detrusor hyperreflexia, influenced by the basal ganglia, which is not associated with impaired striated urethral sphincter activity.
