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The "bends" and neurogenic bladder dysfunction.

D S Elliott1, S Mutchnik, T B Boone

  • 1Department of Urology, Mayo Clinic, Rochester, Minnesota, USA.

Urology
|February 22, 2001
PubMed
Summary
This summary is machine-generated.

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Decompression sickness, or "the bends," can cause neurogenic bladder. This case study details a diver who developed detrusor hyperreflexia after experiencing the bends, highlighting a potential urologic risk.

Area of Science:

  • Urology
  • Neurology
  • Diving Medicine

Background:

  • Decompression sickness (the bends) is a known risk associated with scuba diving.
  • The pathophysiology and treatment of decompression sickness are well-documented.
  • Existing urologic literature lacks references to neurogenic bladder development following decompression sickness.

Observation:

  • A previously asymptomatic man developed symptoms suggestive of neurogenic bladder after an episode of decompression sickness.
  • The patient presented with detrusor hyperreflexia, a condition affecting bladder control.
  • This case highlights a potential, previously undocumented urologic complication of decompression sickness.

Findings:

  • The study documents the evaluation and management of a patient with neurogenic bladder secondary to decompression sickness.

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  • Detrusor hyperreflexia was identified as a consequence of the bends in this case.
  • This finding suggests a link between decompression sickness and lower urinary tract dysfunction.

    • Implications:

    • Urologists, particularly in coastal regions, should consider neurogenic bladder in patients with a history of decompression sickness.
    • Increased awareness of this potential complication may improve diagnosis and management of urologic issues in divers.
    • Further research is warranted to understand the mechanism and prevalence of neurogenic bladder following decompression sickness.