Detrusor-sphincter dyssynergia and detrusor hyperreflexia leading to hydronephrosis during intermittent catheterization.
Two cases of spinal cord injury with detrusor-sphincter dyssynergia and detrusor hyperreflexia are presented. In 1 patient bilateral hydronephrosis developed between 3 and 7 months after injury while he was on intermittent catheterization. In the other patient early sphincterotomy (3 1/2 months post-injury) was not followed by upper tract changes. Urodynamic evaluation should be done before intermittent catheterization is continued for more than 3 months after spinal cord injury. The importance of early diagnosis and appropriate management of detrusor-sphincter dyssynergia associated with detrusor hyperreflexia is discussed.
D000328:Adult; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D012021:Reflex, Abnormal / Q000150:complications* / Q000503:physiopathology; D013119:Spinal Cord Injuries / Q000150:complications* / Q000503:physiopathology; D013997:Time Factors; D001745:Urinary Bladder Diseases / Q000150:complications* / Q000503:physiopathology; D014546:Urinary Catheterization; D014563:Urodynamics