| Autor: |
Yamanishi, Tomonori, Yasuda, Kosaku, Sakakibara, Ryuji, Murayama, Naoto, Hattori, Takamichi, Ito, Haruo |
| Zdroj: |
European Urology; April 1998, Vol. 34 Issue: 4 p360-364, 5p |
| Abstrakt: |
Objectives:To investigate urodynamically detrusor overactivity and evaluate surgical outcome in patients with lower lumbar spine lesions. Methods:Eighty patients with spine lesions below the third lumbar spine including 31 patients with intervertebral disc prolapse (IDP) (mean age: 38.2 years) and 49 patients with spinal canal stenosis (SCS) (mean age: 56.7 years) were studied. Urinary symptoms and urodynamic data were recorded before and after orthopedic surgery. Results:Detrusor overactivity was noted in 17 patients: 3 IDP patients (10%) and 14 SCS patients (29%). Of these 17 patients (9 males and 8 females), 14 (82%) had voiding symptoms and 15 (88%) had storage symptoms. One patient was asymptomatic. Intermittent claudication was noted in 14 patients: 8 had urgency, 11 urge incontinence and 4 male patients showed erection on walking. Of 10 patients followed up after surgery, detrusor overactivity disappeared in 5 patients, improved in 1 patient and remained unchanged in 4 patients. Conclusions:Detrusor overactivity was found in lower lumbar spine lesions. This phenomenon seemed to be caused by the irritation of sacral roots, especially on walking. |
| Databáze: |
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