title: Peripheral neurology as a predictor of bladder dysfunction in congenital neuropathic bladder.
abstract: Urodynamic findings and peripheral neurology were correlated in 62 patients with myelomeningocele. The primary motor and sensory levels bore no relation to bladder dysfunction. The ano-cutaneous reflex was a useful predictor, in that where the reflex was positive there was likely to be detrusor hyper-reflexia, a competent bladder neck and absence of sphincter weakness leakage. Where the reflex was absent, detrusor hyper-reflexia was absent or mild, the bladder neck usually incompetent and sphincter weakness leakage common. (Detrusor compliance could not be predicted from peripheral neurological findings). We consider the ano-cutaneous reflex to be a useful indication of bladder dysfunction and urodynamic studies are often unnecessary when it is positive.
authors.affiliation: Department of Paediatric Urology, Royal Liverpool Children's Hospital.
authors.forename: M P
authors.initials: MP
authors.lastname: Williams
authors.forename: Z
authors.initials: Z
authors.lastname: Katz
authors.forename: J M
authors.initials: JM
authors.lastname: Escala
authors.forename: A M
authors.initials: AM
authors.lastname: Rickwood
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008591:Meningomyelocele / Q000503:physiopathology*; D010525:Peripheral Nerves / Q000503:physiopathology*; D013564:Sympathetic Nervous System / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology*; D014563:Urodynamics