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Answer 2
  1. Impaired detrusor contractility with ability to void. The diagnosis of diabetic neurogenic bladder is best made with urodynamic testing. The most common finding is detrusor hyperreflexia with normal bladder contractility in approximately 33% of patients. Approximately 25% of patients have detrusor areflexia or detrusor hyperreflexia with impaired detrusor contractility. Impaired detrusor contractility occurs in approximately 9% of patients. This pattern is the least common urodynamic explanation of diabetic neurogenic bladder.

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