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Detrusor overactivity is accompanied by dyssynergia with the striated external sphincter mechanism, leading to high intravesical pressure and incomplete bladder emptying.
Measuring the intravesical pressure intraoperatively immediately after closure of the abdominal wound is also recommended.
Urinary loss occurs secondary to an acute rise in intravesical pressure which exceeds urethral closure capacity.
Many of these patients were managed with clean intermittent catheterization, where the main aim of combined medication was to improve intravesical pressure to avoid upper urinary tract deterioration and incontinence.