Influence of bladder lithiasis on lower urinary tract dynamics in patients with spinal cord injury
| Autor: | M E Fuertes, Á Barroso-Manso, Jesús Salinas-Casado, Miguel Vírseda-Chamorro, P. Gutiérrez-Martín |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Neurology Urinary system medicine.medical_treatment Urinary Bladder 030232 urology & nephrology Urology Lithotripsy urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine Lower Urinary Tract Symptoms Urolithiasis medicine Humans In patient Prospective Studies Spinal cord injury Spinal Cord Injuries business.industry Detrusor contractility Endoscopy General Medicine medicine.disease female genital diseases and pregnancy complications Urodynamics Treatment Outcome 030220 oncology & carcinogenesis Anesthesia Case-Control Studies Detrusor pressure Female Neurology (clinical) Paraplegia business |
| Zdroj: | Spinal cord. 55(8) |
| ISSN: | 1476-5624 |
| Popis: | A prospective and a case-matched control study. To study the lower urinary tract dysfunction associated with bladder lithiasis in patients with spinal cord injury (SCI). Toledo (Spain). We have carried out a urodynamic study in 30 patients with SCI with lithiasis in their bladder before and 3 months after bladder endoscopic lithotripsy. This second study was compared with the urodynamic findings of a different group of 30 patients with SCI, without a history of bladder lithiasis, paired with cases by gender and date of urodynamic study. We have found that the prevalence of neurogenic detrusor overactivity (NDO) was significantly different after bladder lithotripsy, although the cystomanometric capacity was significantly increased. A group of patients with lithiasis showed a maximum flow rate, a voiding maximum detrusor pressure and the detrusor contractility parameter Wmax lower than that in controls. On the other hand, a voiding abdominal straining was found to be significantly greater than that in controls. Bladder lithiasis affects the presence of NDO in patients with SCI. Patients with SCI who develop bladder lithiasis present a lower detrusor contractility power compared with those who do not. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink