[Lower urinary tract dysfunction in Guillain-Barre syndrome]. / Harntraktfunktionsstörungen bei Guillain-Barré-Syndrom.
Urologe A
; 57(2): 131-138, 2018 Feb.
Article
en De
| MEDLINE
| ID: mdl-28963575
ABSTRACT
BACKGROUND:
Guillain-Barré syndrome (GBS) as acute inflammatory demyelinating polyradiculoneuropathy frequently leads to lower urinary tract dysfunction. The available knowledge in the medical literature is limited and good recommendations for diagnosis and therapy are rare. MATERIALS ANDMETHODS:
In this study, 189 patients with GBS were screened for lower urinary tract dysfunction. In symptomatic patients, a urodynamic study was performed. Detrusor contractility, post-void residual, and changes of the symptoms over time were studied. Overall Barthel index and urinary control Barthel index as well as the relationship of time after onset of the disease and post-void residual were studied as possible screening criteria for urodynamic assessment.RESULTS:
According to the urinary control Barthel index (BI), 115 of 189 patients (61%) presented lower urinary tract symptoms sometime during the course of disease. In 28 patients, these symptoms were temporary during the acute phase. At the time of urological assessment, 87 patients had lower urinary tract symptoms. At the end of rehabilitation, 37 had no symptoms anymore (BI 10), 20 were able to control micturition to a certain extent (BI 5), and 30 had no lower urinary tract control (BI 0). There was a significant negative correlation between post-void residual volume and overall BI (ρ -0.5823, p < 0.0001) and BI for urinary tract control (ρ -0.6430, p < 0.0001).CONCLUSIONS:
Overall BI and BI for urinary tract control are suitable screening criteria for urodynamic assessment.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Trastornos Urinarios
/
Vejiga Urinaria
/
Enfermedades de la Vejiga Urinaria
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Obstrucción del Cuello de la Vejiga Urinaria
/
Síndrome de Guillain-Barré
Tipo de estudio:
Diagnostic_studies
/
Guideline
Límite:
Humans
Idioma:
De
Año:
2018
Tipo del documento:
Article