Detrusor hyperreflexia in strokes.
Urodynamic evaluation via water cystometry was undertaken in 27 patients from 12 to 120 days after cerebrovascular accidents. Seven patients had urinary symptoms--five with urge incontinence, one with frequency and one with sensation of incomplete bladder emptying. The remaining 20 were asymptomatic. Cystometry revealed normal bladder function in 15 patients (55.6%), detrusor areflexia in one patient (3.7%) and detrusor hyperreflexia in 11 patients (40.7%). Of the 11 patients with detrusor hyperreflexia, six (54.5%) were asymptomatic and the remaining five (45.5%) had urge incontinence. The former group had a statistically significant higher first sensation and functional cystometric capacity than the latter. Urge incontinence was also found to be an accurate predictor of detrusor hyperreflexia.
Kong
K H
KH
Department of Rehabilitation Medicine, Tan Tock Seng Hospital, Singapore.
Chan
K F
KF
Lim
A C
AC
Tan
E S
ES
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002543:Cerebral Hemorrhage / Q000150:complications / Q000503:physiopathology; D002544:Cerebral Infarction / Q000150:complications / Q000503:physiopathology; D002561:Cerebrovascular Disorders / Q000150:complications* / Q000503:physiopathology; D004576:Electromyography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009119:Muscle Contraction / Q000502:physiology; D011312:Pressure; D012021:Reflex, Abnormal / Q000502:physiology; D012677:Sensation / Q000502:physiology; D001743:Urinary Bladder / Q000503:physiopathology*; D001745:Urinary Bladder Diseases / Q000209:etiology*; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology; D014555:Urination Disorders / Q000209:etiology*; D014563:Urodynamics / Q000502:physiology