[Evidence-based medicine. Usefulness of isolated cystomanometry for the diagnosis of periurethral detrusor-sphincter dyssynergia in patients with suprasacral lesion]

Autor:	M, Vírseda Chamorro, J, Salinas Casado, J M, Adot Zurbano, F, Teba del Pino, D, Vázquez Alba
Rok vydání:	2000
Předmět:	Adult Aged 80 and over Male Sacrum Evidence-Based Medicine Adolescent Manometry Urinary Bladder Muscle Smooth Middle Aged Sensitivity and Specificity Cross-Sectional Studies Urethra Urethral Diseases Humans Female Child Spinal Cord Injuries Aged
Zdroj:	Archivos espanoles de urologia. 52(10)
ISSN:	0004-0614
Popis:	To determine the utility of cystomanometry alone in the diagnosis of periurethral detrusor-sphincter dyssynergia in patients with suprasacral spinal cord lesion.Cystomanometry and selective electromyography were performed to evaluate the periurethral sphincter of 40 patients (16 female and 24 male; mean age 46.6 years) with suprasacral spinal cord injury diagnosed by neurological evaluation.The pre-test probability of having dyssynergia was 0.45. The post-test probability, with cystomanometrically demonstrated hyperreflexia, was 0.58. The likelihood ratio utilizing cystomanometry alone was 1.69.Cystomanometry alone is not useful in the diagnosis of periurethral detrusor-sphincter dyssynergia in patients with suprasacral spinal cord injury. Periurethral electromyography should be used in combination with the foregoing technique.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::139497d466cc801526ccc4f5f0a6eede https://pubmed.ncbi.nlm.nih.gov/10680231 Zobrazit plný text záznamu