[Bladder deformations in neurogenic bladder secondary to cauda equina or conus medullaris lesion].
BACKGROUND
The bladder deformations observed in the neurogenic bladders are frequent, particularly in the "upper motor neuron" bladder type (paraplegia, multiple sclerosis). We wanted to verify the predictive factors of such damage and particularly, if the urodynamic typology intervened in their genesis by using the model of cauda equina syndrome and conus medullaris lesions.


METHODS
We have studied retrospectively the presence of cystographic bladder deformations at patients with neurogenic bladder due to cauda equina syndrome or conus medullaris lesion according to their urodynamic status: either overactive or acontractile detrusor.


RESULTS
Of 68 patients, (mean age 47.2 years), 34 had an overactive and 34 an acontractile detrusor. The presence of bladder deformations was associated with an overactive detrusor (p=0.04). However, 50% of the patients with acontractile detrusor had bladder deformations, and those deformations were associated with male sex, and this excluding urologic obstruction.


CONCLUSIONS
This study demonstrates the existence of bladder deformations in the hypoactive lower motor neuron neurogenic bladder type. If the bladder deformations seem more frequent in the overactive neurogenic bladder type, their specific and repeated search is also necessary during the follow-up of the lower motor neuron neurogenic bladder type.
Service de rééducation neurologique et d'explorations périnéales, hôpital Rothschild, groupe hospitalier universitaire Est, AP-HP, 33, boulevard de picpus, 75012 Paris, France. mireille.damphousse@rth.aphp.fr
M
M
Damphousse
K
K
Hubeaux
M
M
Weil
P
P
Raibaut
F
F
Lebreton
G
G
Amarenco
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011128:Polyradiculopathy / Q000150:complications*; D012189:Retrospective Studies; D013117:Spinal Cord Compression / Q000150:complications*; D001743:Urinary Bladder / Q000002:abnormalities*; D001750:Urinary Bladder, Neurogenic / Q000150:complications*; D055815:Young Adult