Urodynamic Studies in Neurogenic Bladder

Paik, Saw Young; Chang, Sung Goo; Chai, Soo Eung

Abstract

The urodynamic studies of patient with neurogenic bladder has been useful in diagnosis, classification and treatment. The urodynamic studies were performed in 72 patients with neurogenic bladder visited to the Department of Urology, Kyung Hee University, hospital during the period from January, 1983 to December, 1984. The results as follows: l. The age of patient at the time of the urodynamic study ranged from 4 to 80 years (mean 48.3 years), male was 57 cases and female was 16 cases. 2. In 72 cases, 32 cases were spine lesions, 24 cases were brain lesions, 10 cases were peripheral nerve lesions and 6 cases were others. 3. The uroflowmetry and the urethral pressure profilometry were not available for diagnosis and classification of neurogenic bladder. 4. In 24 cases of brain lesions, 15 cases were detrusor hyperreflexia or normoreflexia, 9 cases were detrusor hyporeflexia and 1O cases were combined detrusor-sphincter dyssynergia. 5. In 32 cases of spine lesions, detrusor hyperreflexia or normoreflexia in 20 cases, detrusor hyporeflexia in l2 cases and detrusor-sphincter dyssynergia in l9 cases. 6. In 1O cases of peripheral nerve lesions, 4 cases were detrusor hyperreflexia or normoreflexia, 6 cases were detrusor hyporeflexia and 5 cases were combined detrusor-sphincter dyssynergia.