ReviewTranslational andrology and urology2016
Detrusor sphincter dyssynergia: a review of physiology, diagnosis, and treatment strategies.
Review in Translational andrology and urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
58 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Self-Management Support Apps for Spinal Cord Injury: Results of a Systematic Search in App Stores and Mobile App Rating Scale Evaluation.JMIR mHealth and uHealth · 2024Pooled it
- Neurogenic lower urinary tract dysfunction in ageing men with spinal cord injury.Nature reviews. Urology · 2026Review
- Abdominal Clonus as a Rare Visceromotor Manifestation in Spinal Cord Injury: A Case Report.Cureus · 2026Article
- Article
- Complications and Risk Factors of Neurogenic Bladder: A Delphi Consensus.European urology open science · 2026Article
- Article
- The cerebro-pelvic axis: a unified framework linking higher brain function, pelvic floor control, and lower urinary tract dysfunction.Frontiers in neuroscience · 2026Article
- Videourodynamic predictive factors of urological complications in patients with chronic spinal cord injury and detrusor sphincter dyssynergia.International urology and nephrology · 2025Article
- Cortical intermittent theta burst stimulation and neurogenic bladder management after traumatic incomplete spinal cord injury: A case report.The journal of spinal cord medicine · 2025Article
- Lower Urinary Tract Symptoms in Patients with Congenital Genitourinary Anomalies.Current urology reports · 2025Review
- Design of Soft, Stretchable Bladder-Integrated Scaffolds for Advanced Bioelectronic Implants.Advanced materials technologies · 2025Article
- Article
- in vivo Reprogramming of NG2 Glia Improves Bladder Function After Spinal Cord Injury.bioRxiv : the preprint server for biology · 2025Article
- The effect of high frequency sacral nerve stimulation on lower urinary tract function in awake, healthy animals.Scientific reports · 2025Article
- Article
- A Scoping Review of the Oral Treatment Options for the Management of Detrusor Sphincter Dyssynergia.Neurourology and urodynamics · 2025Article
- Article
- Neurogenic bladder pathophysiology, assessment and management after lumbar diseases.EFORT open reviews · 2025Review
- Article
- Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Detrusor sphincter dyssynergia (DSD) is the urodynamic description of bladder outlet obstruction from detrusor muscle contraction with concomitant involuntary urethral sphincter activation. DSD is associated with neurologic conditions such as spinal cord injury, multiple sclerosis, and spina bifida and some of these neurogenic bladder patients with DSD may be at risk for autonomic dysreflexia, recurrent urinary tract infections, or upper tract compromise if the condition is not followed and treated appropriately. It is diagnosed most commonly during the voiding phase of urodynamic studies using EMG recordings and voiding cystourethrograms, although urethral pressure monitoring could also potentially be used. DSD can be sub-classified as either continuous or intermittent, although adoption of this terminology is not widespread. There are few validated oral pharmacologic treatment options for this condition but transurethral botulinum toxin injection have shown temporary efficacy in reducing bladder outlet obstruction. Urinary sphincterotomy has also demonstrated reproducible long term benefits in several studies, but the morbidity associated with this procedure can be high.
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Registered trials
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