Analysis of High Risk Urodynamic Factors in Neuropathic Bladder.
- Author:
Hyung Jee KIM
1
;
Do Shik WOO
;
Gil Ho LEE
Author Information
1. Department of Urology, Dankook University College of Medicine, Cheonan, Korea.
- Publication Type:Original Article
- Keywords:
Neuropathic bladder;
Urodynamic study;
High risk factor
- MeSH:
Ataxia;
Compliance;
Humans;
Risk Factors;
Spinal Cord Injuries;
Stroke;
Urinary Bladder, Neurogenic*;
Urinary Tract;
Urodynamics*
- From:Korean Journal of Urology
1998;39(7):666-670
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The main objective in management of neuropathic bladder is the preservation of renal function because the renal deterioration is the most serious problem of neuropathic bladder. We investigated risk factors for renal dysfunction in neuropathic bladder. MATERIALS AND METHOD: A total 75 patients of neuropathic bladder with voiding dysfunction was evaluated by urodynamic study and we analyzed the risk factors associated with upper urinary tract deterioration. RESULTS: High risk factor In developing renal dysfunction in cerebrovascular accident was high detrusor pressure, however in cases of spinal cord injury, detrusor external sphincter dyssynergia, high detrusor pressure and low compliance were risk factors of upper tract deterioration. CONCLUSIONS: In management of neuropathic bladder, the abnormalities of individual lesion-specific urodynamic parameters(detrusor sphincter dyssynergia, low compliance, high detrusor pressure) should be factored into the assessment of upper urinary tract deterioration.
