0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Urinary Bladder |

Treatment of Diabetic Cystopathy

C. FRIMODT-MØLLER, M.D.; and S. MORTENSEN, M.D.
[+] Article and Author Information

▸Requests for reprints should be addressed to Cai Frimodt-MØller, M.D.; Gentofte Hospital, Department of Urology H, University of Copenhagen; DK-2900 Hellerup, Denmark.


Hellerup, Denmark


© 1980 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1980;92(2_Part_2):327-328. doi:10.7326/0003-4819-92-2-327
Text Size: A A A

Neurogenic bladder disorders in diabetic patients may result in insufficient bladder emptying because of loss of reflex detrusor contraction. In those who are asymptomatic or have only moderate signs of diabetic cystopathy, treatment choices are scheduled voiding by the triple-voiding technique, cholinergic treatment either daily or twice weekly, and transurethral surgery of the bladder neck. In patients with total urine retention, an indwelling catheter will decrease the overstretched detrusor muscle. Cholinergic treatment with initially high parenteral doses of bethanecol may help to diminish residual urine. Transurethral surgery is often mandatory in such cases. Decensus of the bladder in females often requires surgery. Deficient bladder sensation is irreversible in diabetics, and follow-up of treatment should be lifelong.

Figures

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Topic Collections
PubMed Articles

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)