Shorter urodynamic follow-up has been suggested for patients presenting uncontrolled DO and/or reduced bladder compliance... However, how about patients doing well on antimuscarinics?
Hello,
This is a little outside of the clinical needs of the people who I saw when I was working (nurse practitioner for bladder and bowel care); the urology nurses tended to pick up on such patients.
But if you were wondering about those who were doing well on antimuscarinics, and wanted to leave them a little longer, would there be a place for nursing staff checking these patients using a portable bladder scan? This would be a way of making sure that the post void residual was not creeping up, as a result of this medication.
They would also be able to advise about diet and fluids (i.e. caffeine etc.) that may aggravate bladder instability and screen the urine, if necessary, to pick up on possible urinary tract infection?
Very best wishes,
Mary
you can judge it by clinical response, to antimuscarinic drugs and the tolerability to side effect.
I think that antimuscarinic drugs do not provide a prolonged effect. So for the first 5 to 10 years after injury I would perform VUDS annually if the patient is doing well.
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