[Miction disorders symptomatic of neurologic disease].
Urodynamic test has a main role in: 1) making a precise diagnosis in presence of urinary symptoms not clearly interpretable by other means; 2) assessing the characteristics of neurogenic bladder for a correct treatment; 3) detecting an underlying, previously not diagnosed neurologic disease in patients with voiding abnormalities. This report concerns 10 patients with urinary symptoms in whom the urodynamic tests allowed to suspect a neurogenic problem. Seven pts. showed an areflexic bladder with positive betanechol supersensitive test, 3 pts. had detrusor hyperreflexia, while in 2 cases there was a low compliant bladder. All the patients with detrusor hyperreflexia had also detrusor sphincter dyssynergia, while 5 out of 7 pts. with detrusor areflexia showed a denervated perineal floor. The final neurologic diagnoses were 4 protruded discs, 2 multiple scleroses, 1 cerebral tumor, 2 spinal tumors, 1 cervical spondylosis.
Pesce
F
F
Carbone
A
A
Ciappetta
P
P
Delfini
R
R
D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry; D008875:Middle Aged; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology*; D014563:Urodynamics
Disfunzioni minzionali sintomatiche di malattie neurologiche.