Speciality
Spotlight

 




 

Urology


 

 




Neurogenci
Bladder

      

  • 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.

 



 

  

Speciality Spotlight

 

 
Urology
 

 

Neurogenci Bladder
      

  • 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.

 

 

By |2022-07-20T16:42:34+00:00July 20, 2022|Uncategorized|Comments Off on Neurogenci Bladder

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