title: [Micturition disorder as a sequela of sacral autonomic diabetic neuropathy].
abstract: Diabetic neuropathy may manifest itself also in the autonomous nervous system and thus lead to a functional disorder of the urinary bladder. Urodynamic studies carried out in 11 diabetic patients with unclear bladder dysfunction allowed 2 forms of bladder anomalies to be identified: 1. detrusor hyperreflexia, 2. hyporeflexia and areflexia of the detrusor. Whereas hyperreflexia is clinically characterised by signs of motor urgency, hyporeflexia is mainly identifiable by residual urine formation and recurrent infections of the urinary tract. Therapy depends on the type of dysfunction and consists of physiotherapeutic measures, drug therapy and occasionally surgery.
mesh_terms: D000368:Aged; D001342:Autonomic Nervous System Diseases / Q000150:complications*; D003131:Combined Modality Therapy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003929:Diabetic Neuropathies / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012021:Reflex, Abnormal / Q000175:diagnosis; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis* / Q000188:drug therapy; D014546:Urinary Catheterization; D014552:Urinary Tract Infections / Q000175:diagnosis; D014563:Urodynamics
vernacular_title: Harnblasenentleerungsstörung als Folge einer sakralen autonomen diabetischen Neuropathie.