Cystometry and periurethral striated muscle electromyography using cold and room temperature fluid.
In evlauating patients with neurologic lesions of the spinal cord and voiding abnormalities, it would appear from this study that distention is a more physiologic stimulus to bladder contraction than relatively smaller amounts of cold fluid. While the ice water test has speed and simplicity to recommend it, it should not be used as a sole means in determining whether or not a detrusor reflex is present. It may not uncover those patients with detrusor hyperreflexia or may fail to reveal a detrusor reflex. If iced contrast medium is to be used for voiding cystography, the volumes should approximate those used for regular cystometry.
D004576:Electromyography; D006801:Humans; D008722:Methods; D013696:Temperature; D001743:Urinary Bladder / Q000503:physiopathology*; D014555:Urination Disorders / Q000175:diagnosis / Q000503:physiopathology*; D014563:Urodynamics