Urodynamically Studied Neurogenic Bladder.
- Author:
Sang Gyu KIM
1
;
Choel Hee PARK
;
Chun Il KIM
;
Sung Choon LEE
Author Information
1. Department of Urology, Keimyung University, School of Medicine, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Urodynamics;
neurogenic bladder
- MeSH:
Catheters;
Compliance;
Diagnosis;
Humans;
Reflex, Abnormal;
Transportation;
Urinary Bladder, Neurogenic*;
Urodynamics
- From:Korean Journal of Urology
1990;31(2):259-264
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Urodynamics is a neurourolgic diagnostic tool concerned with identification and measurement of physiologic and pathologic factors involved in the storage, transportation, and evacuation of urine. It plays an important role in the diagnosis, management of neurogenic bladder and its use has gradually increased. But a disparity between clinical and urodynamic findings is commonly found and its application to the clinical management of neurogenic bladder is practically as well embarrassing as its reading. We analyzed the results of 81 cases of neurogenic bladder with urodynamic study. Urodynamically, there were 18 cases showing D. hyperreflexia with DSD, 10 cases D. Hyperreflexia without DSD, 36 cases D. areflexia without low compliance, and 17 case D. areflexia with low compliance. A disparity between the clinical and urodynamic :assessment was noted in 28 cases( 35%). Clinically severe symptom with complication was particularly common in D. hyperreflexia with DSD, D. areflexia with low compliance and catheter indwelling patients.
