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D - Bladder Continence

order/interpret the results, or inadequate understanding of the clinical importance or necessity for these tests. It appears from the data gathered that urodynamic evaluation should be available when clinically indicated, in a majority of the sites (see Figure 4.0). In addition, there is an apparent lack of attention to long-term surveillance, in a majority of sites. Considering data suggests that urodynamic evaluation is available when indicated, inadequate physiatry resources may be the reason for the lack of long-term bladder follow up in Canada. Specifically, inadequate long-term tracking mechanisms of individuals with SCI, inadequate knowledge of the need for these individuals to have regular testing, or inadequate appointment adherence are likely the reasons that such repeated testing is not carried out longitudinally. Figure 4.0 Percent of Canadian SCI Centres Reporting Availability of Diagnostic Services Video Urodynamics Renal/Bladder Ultrasound Figure 4.0 Figure 5.0 ULTRASOUND Published (Peer-reviewed) Canadian SCI Experts Rank Among the Best in the World 1. Jerzy Gajewski, MD (Urology), Halifax: Director of Functional Urology Program at Dalhousie University with clinical and research interests in voiding dysfunction, neurogenic bladder, incontinence, interstitial cystitis and erectile dysfunction. 2. Gregory Bailly, MD (Urology), Halifax: Most interested in female urology, incontinence, urethral reconstruction, erectile dysfunction and prostate disease. 3. Magdy Hassouna, MD (Urology), Toronto: Primary research interest is in neuro-urology, with special emphasis on the use of neurostimulation to modulate the functions of the urinary bladder. Clinical interests include voiding dysfunction and male erectile dysfunction. 4. Sendor Herschorn, MD (Urology), Toronto: His clinical and research interests include urinary incontinence, overactive bladder, erectile dysfunction and female urological issues. Along with many peer-reviewed publications in bladder function, Dr. Herschorn has been invited to speak on this subject, worldwide. 5. Patrick Potter, MD (Physiatry), London: A physiatrist with a long-standing interest in bladder function, and a publication history in peer-reviewed SCI journals. 6. Jean-Guy Vézina, MD (Urology), Québec City: Primary research interest is associated with advances in penile vibrator stimulation (PVS) and oral midodrine for the enhancement of self-ejaculation in spinal cord injured (SCI) men to self-ejaculate. 7. Karen Ethans, MD (Physiatry), Winnipeg: A physiatrist who has pioneered bladder management strategies including, but not limited to, bolulinum toxin injections. Dr. Ethans has participated in numerous bladder management-related clinical trials, as well as related peer-reviewed publications. 0 20 40 60 80 100 Percent (%) of Sites 56 CAPTURING CAPACITY IN CANADIAN SCI REHABILITATION


D - Bladder Continence
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