Home monitoring of bladder pressure and volume in individuals with spinal cord injury and multiple sclerosis.
Individuals with spinal cord injury and multiple sclerosis are at high risk for developing kidney dysfunction due to high bladder pressures. We have developed a device for frequent monitoring of bladder pressures at home in those patients who use intermittent catheterization to empty their bladders. Of eight subjects enrolled in the study, only five conducted home recording of pressure. Vesical and abdominal pressures measured at home were significantly lower than clinical cystometric pressures. However, subtracted detrusor pressures obtained from home records and cystometric records were not significantly different. The home detrusor pressures were consistent over a large time and volume range. Therefore, the home monitoring method could be used to establish a normal range of bladder pressures at home and to rapidly identify high bladder pressures in advance of upper urinary tract deterioration.
Walter
J S
JS
Rehabilitation Research and Development Service, Edward Hines, Jr. Veterans Affairs Hospital, Hines, IL 60141, USA.
Wheeler
J S
JS
Markley
J
J
Chintam
R
R
Blacker
L M
LM
Damaser
M S
MS
D000328:Adult; D006801:Humans; D008875:Middle Aged; D018670:Monitoring, Ambulatory; D009103:Multiple Sclerosis / Q000503:physiopathology*; D011312:Pressure; D013119:Spinal Cord Injuries / Q000503:physiopathology*; D001743:Urinary Bladder / Q000503:physiopathology*; D014546:Urinary Catheterization; D014563:Urodynamics