Urodynamic Responses to Anal Stretch in Patients With Detrusor Sphincter Dyssynergia

Autor: Henry L. Lew, Liu-Ing Bih, Yu-Hui Huang, Su-Ju Tsai, Sung-Lang Chen
Rok vydání: 2008
Předmět:
Zdroj: Archives of Physical Medicine and Rehabilitation. 89:1748-1752
ISSN: 0003-9993
DOI: 10.1016/j.apmr.2007.12.051
Popis: Huang Y-H, Chen S-L, Tsai S-J, Bih L-I, Lew HL. Urodynamic responses to anal stretch in patients with detrusor sphincter dyssyngergia. Objective To evaluate the urodynamic responses to anal stretch in patients with detrusor sphincter dyssynergia (DSD). Design Descriptive study. Setting Rehabilitation hospital affiliated with a medical university. Participants Patients (N=36) with suprasacral spinal cord injury who had DSD confirmed on cystometrography. Interventions Not applicable. Main Outcome Measures Detrusor pressure, urethral pressure, and summated electromyogram of external urethral sphincter on cystometrography. Results The urodynamic responses to anal stretch were evaluated in the first half (time 1, 1–15s) and the second half (time 2, 16–30s) of the evaluation time period. The activity of external urethral sphincter was reduced significantly in both times 1 and 2 ( P Conclusions Anal stretch can reduce the activity of external urethral sphincter without significant change in detrusor pressure.
Databáze: OpenAIRE