Influence of bladder lithiasis on lower urinary tract dynamics in patients with spinal cord injury.
Spinal Cord
; 55(8): 765-768, 2017 Aug.
Article
em En
| MEDLINE
| ID: mdl-28508889
ABSTRACT
STUDY DESIGN:
A prospective and a case-matched control study.OBJECTIVES:
To study the lower urinary tract dysfunction associated with bladder lithiasis in patients with spinal cord injury (SCI).SETTING:
Toledo (Spain).METHODS:
We have carried out a urodynamic study in 30 patients with SCI with lithiasis in their bladder before and 3 months after bladder endoscopic lithotripsy. This second study was compared with the urodynamic findings of a different group of 30 patients with SCI, without a history of bladder lithiasis, paired with cases by gender and date of urodynamic study.RESULTS:
We have found that the prevalence of neurogenic detrusor overactivity (NDO) was significantly different after bladder lithotripsy, although the cystomanometric capacity was significantly increased. A group of patients with lithiasis showed a maximum flow rate, a voiding maximum detrusor pressure and the detrusor contractility parameter Wmax lower than that in controls. On the other hand, a voiding abdominal straining was found to be significantly greater than that in controls.CONCLUSIONS:
Bladder lithiasis affects the presence of NDO in patients with SCI. Patients with SCI who develop bladder lithiasis present a lower detrusor contractility power compared with those who do not.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
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Urolitíase
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Sintomas do Trato Urinário Inferior
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article