The relationship between level of injury and bladder behavior in patients with post-traumatic spinal cord injury

BACKGROUND After the spinal shock period, suprasacral injuries classically result in detrusor hyperreflexia/overactive bladder and detrusor sphincter dyssynergia. Sacral cord injuries produce detrusor areflexia consistent with lower motor neuron injury and often increased bladder compliance. However, previous investigators have noted an inexact correlation between spinal cord injury level and urodynamic findings. The aim of this study was to evaluate the relationship between level of injury and urodynamic findings. METHODS Fifty-one patients with post-traumatic spinal cord injury were classified by the radiographically determined level of injury, clinical neurologic level and completeness of injury. Urodynamic studies were performed in all patients. RESULTS Twenty-six of 36 patients with suprasacral injuries had hyperreflexia/overactive bladder (72.2%). Twenty-nine (80.5%) had detrusor sphincter dyssynergia, 9 (25%) had normal compliance and 1 (2.8%) had areflexia. Six of the 14 patients with sacral injuries had areflexia (42.8%), 2 (14.3%) had hyperreflexia/overactive bladder, 2 (14.3%) had detrusor sphincter dyssynergia, and 6 (42.8%) had normal compliance. CONCLUSION The correlation between somatic neurologic findings or spinal imaging studies and urodynamic findings in patients with spinal cord injury is not exact. These data suggest that the neurologic examination alone is not an adequate parameter to predict urological dysfunction and that urodynamic evaluation provides a more precise diagnosis for each patient.

Yazar Erol, Buelent
Kocak, Taner
Kadioglu, Ates
Muslumanoglu, Lutfiye
Karamehmetoglu, Safak
Akinci, Mustafa
Arikan, Firdevs
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3648
Konu Başlıkları Spinal cord injury
level of injury
urodynamic evaluation
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
Dergi Cilt Bilgisi 15
Dergi Sayısı 4
Sayfalar 377 - 382
Yayın Yılı 2009
Eser Adı
[dc.title]
The relationship between level of injury and bladder behavior in patients with post-traumatic spinal cord injury
Yazar
[dc.contributor.author]
Erol, Buelent
Yazar
[dc.contributor.author]
Kocak, Taner
Yazar
[dc.contributor.author]
Kadioglu, Ates
Yazar
[dc.contributor.author]
Muslumanoglu, Lutfiye
Yazar
[dc.contributor.author]
Karamehmetoglu, Safak
Yazar
[dc.contributor.author]
Akinci, Mustafa
Yazar
[dc.contributor.author]
Arikan, Firdevs
Yayın Yılı
[dc.date.issued]
2009
Yayıncı
[dc.publisher]
TURKISH ASSOC TRAUMA EMERGENCY SURGERY
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
BACKGROUND After the spinal shock period, suprasacral injuries classically result in detrusor hyperreflexia/overactive bladder and detrusor sphincter dyssynergia. Sacral cord injuries produce detrusor areflexia consistent with lower motor neuron injury and often increased bladder compliance. However, previous investigators have noted an inexact correlation between spinal cord injury level and urodynamic findings. The aim of this study was to evaluate the relationship between level of injury and urodynamic findings. METHODS Fifty-one patients with post-traumatic spinal cord injury were classified by the radiographically determined level of injury, clinical neurologic level and completeness of injury. Urodynamic studies were performed in all patients. RESULTS Twenty-six of 36 patients with suprasacral injuries had hyperreflexia/overactive bladder (72.2%). Twenty-nine (80.5%) had detrusor sphincter dyssynergia, 9 (25%) had normal compliance and 1 (2.8%) had areflexia. Six of the 14 patients with sacral injuries had areflexia (42.8%), 2 (14.3%) had hyperreflexia/overactive bladder, 2 (14.3%) had detrusor sphincter dyssynergia, and 6 (42.8%) had normal compliance. CONCLUSION The correlation between somatic neurologic findings or spinal imaging studies and urodynamic findings in patients with spinal cord injury is not exact. These data suggest that the neurologic examination alone is not an adequate parameter to predict urological dysfunction and that urodynamic evaluation provides a more precise diagnosis for each patient.
Açıklama
[dc.description]
WOS: 000267861900014
Açıklama
[dc.description]
PubMed: 19669969
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
tur
Konu Başlıkları
[dc.subject]
Spinal cord injury
Konu Başlıkları
[dc.subject]
level of injury
Konu Başlıkları
[dc.subject]
urodynamic evaluation
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
1306-696X
İlk Sayfa Sayısı
[dc.identifier.startpage]
377
Son Sayfa Sayısı
[dc.identifier.endpage]
382
Dergi Adı
[dc.relation.journal]
ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
15
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3648
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
24
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Şubat 2024 07:19
Google Kontrol
Tıklayınız
injury detrusor spinal patients urodynamic bladder findings injuries neurologic between compliance areflexia dyssynergia sphincter hyperreflexia/overactive suprasacral correlation normal studies somatic CONCLUSION BACKGROUND sacral suggest imaging evaluation patient diagnosis precise provides dysfunction urological predict parameter adequate
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

creativecommons
Bu site altında yer alan tüm kaynaklar Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.
Platforms