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Speciality Spotlight
Neurogenci
Bladder
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Watanabe T, Vaccaro AR, Kumon H, et al [ Univ of Pittsburgh, Pa; Jefferson Med. College, Phiadelphia; Okayama Univ. Japan]
High Incidence of Occult Neurogenic Bladder Dysfunction in Neurologically intact Patinets with Thoracolumbar Spinal Injuries.
J Urol 159 : 965-968 , 1998
Conclusion – The authors found that clinical indicators of neurologic impairment [ i.e. abnormal BCR and perianal pinprick sensation ]. The absence of motor or secondary abnormalities on clinical examination did not necessarily indicate the absence of neurological dysfunction in the series.
The incidence of occult neurological dysfunction in-patient with normal urodynamic examination, the absence of the bulbocavernosus reflex or diminished pinprick sensation was 100% specific for lower urinary tract dysfunction particularly destrusor areflexia.
Potentially confounding variables in this lady include pre-existing neurologic dysfunction and the very short interval between initial injury and subsequent video urodynamic analysis in which external factors such as inflammation at the site of injury and transient spinal shock may play a role in the deficits noted by the authors.
