Detrusor Acontractility after Acute Spinal Cord Injury—Myth or Reality?
| Autor: | Jure Tornic, Thomas M. Kessler, Mirjam Bywater, Ulrich Mehnert |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Ataxia Urology Urinary system Urinary Bladder 030232 urology & nephrology urologic and male genital diseases Vesicoureteral reflux Dyssynergia 03 medical and health sciences 0302 clinical medicine Urinary Bladder Underactive medicine Humans Prospective Studies Urinary Bladder Neurogenic Prospective cohort study Spinal cord injury Spinal Cord Injuries Aged Urinary bladder Electromyography Urinary Bladder Overactive business.industry Middle Aged medicine.disease Spinal cord female genital diseases and pregnancy complications Urodynamics medicine.anatomical_structure Female medicine.symptom business 030217 neurology & neurosurgery Muscle Contraction |
| Zdroj: | Journal of Urology. 199:1565-1570 |
| ISSN: | 1527-3792 0022-5347 |
| Popis: | We assessed urodynamic parameters within the first 40 days after spinal cord injury to investigate whether the detrusor is acontractile during the acute phase of spinal cord injury.We performed a prospective cohort study in 54 patients with neurogenic lower urinary tract dysfunction due to acute spinal cord injury who underwent urodynamic investigation within the first 40 days after injury at a single university spinal cord injury center.Urodynamic investigation revealed an acontractile detrusor in only 20 of the 54 patients (37%) but unfavorable urodynamic parameters in 34 (63%). We found detrusor overactivity in 32 patients, detrusor-sphincter dyssynergia in 25, maximum storage detrusor pressure greater than 40 cm HIn contrast to the common notion of an acontractile detrusor during acute spinal cord injury, almost two-thirds of our patients showed unfavorable urodynamic parameters within the first 40 days after spinal cord injury. Considering that early treatment of neurogenic lower urinary tract dysfunction in patients with acute spinal cord injury might improve the long-term urological outcome, urodynamic investigation should be performed timely to optimize patient tailored therapy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|