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Continuous urinary incontinence presenting as the initial symptoms demonstrating acontractile detrusor and intrinsic sphincter deficiency in multiple system atrophy
Author(s) -
Mashidori Tomoko,
Yamanishi Tomonori,
Yoshida KenIchiro,
Sakakibara Ryuji,
Sakurai Kunihiko,
Hirata Koichi
Publication year - 2007
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/j.1442-2042.2007.01862.x
Subject(s) - medicine , urinary incontinence , occult , stress incontinence , sphincter , urology , urethral sphincter , atrophy , surgery , pathology , alternative medicine
Abstract:  Severe stress incontinence due to intrinsic sphincter deficiency may be common in aged women. However stress urinary incontinence could be the initial symptom of severe neurogenic bladder even if no neurological signs have previously been recognized. Urodynamic study is necessary in such a case. Tension‐free vaginal tape surgery and intermittent self‐catheterization may be one option, but self catheterization might become difficult when the neurological disorders develop. In this case report, we highlight the need for caution in identifying the presence of an occult neurogenic bladder when intending to carry out surgery for patients with severe stress incontinence.

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