1. Voiding disorders clinic. The role of functional Neurosurgery.
- Author
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Espinoza, M., Castaño, J., and Azuero, J.
- Abstract
The scope pf this presentation is to provide neurosurgeons with the details on how to form part of an interdisciplinary clinic for the management of voiding disorders. General Neurobiology of continence is reviewed. The general mission of the clinic is to provide comprehensive diagnostic studies, medical and surgical treatments and clinical research of primary and secondary pathologies causing total or partial inability to control micturition and defecation. Urinary/fecal incontinence is a highly disabling disorder that significantly alters quality of life and poses health at risk of complications, among them sepsis, renal failure, skin ulcers. Our incontinence clinic was developed after recognizing that it is a complex problem, with neurogenic and non neurogenic causes, that requires an interdisciplinary approach. Needed specialties are Urology, coloproctology, Neurology, Functional Neurosurgery, Gastroenterology, Physiatry and Pelvic floor therapy and Psychotherapy Specialists. Every performed treatment is the result of collegial discussions. Functional Neurosurgery is an unique position to participate or to conduct neuromodulation therapies, research and to offer neurosurgical treatments in patients with neurogenic causes. Our general experience in neuromodulation for voiding disorders is discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2017