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Related Experiment Videos

Urodynamic observations following spinal trauma.

D G Thomas, R Smallwood, D Graham

    British Journal of Urology
    |April 1, 1975
    PubMed
    Summary
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    Urodynamic investigation reveals rising external urethral sphincter pressure in paraplegic patients with reflex micturition after spinal trauma. This study details patterns of detrusor-sphincteric imbalance during micturition in these patients.

    Area of Science:

    • Urology
    • Neuroscience
    • Physiology

    Background:

    • Spinal cord injury often leads to impaired bladder function.
    • Urodynamic investigations are crucial for assessing bladder and sphincter function.
    • Understanding micturition patterns post-spinal trauma is vital for patient management.

    Purpose of the Study:

    • To describe a urodynamic investigation method for paraplegic and quadriplegic patients.
    • To analyze changes in urethral pressure profiles following spinal trauma.
    • To characterize micturition patterns associated with detrusor-sphincteric imbalance.

    Main Methods:

    • Serial measurements of urethral pressure profile.
    • Assessment of patients with developing and established reflex micturition.

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  • Evaluation of detrusor-sphincteric function post-spinal cord injury.

    • Main Results:

    • A progressive increase in external urethral sphincter pressure was observed over time in patients with developing reflex micturition.
    • Distinct patterns of micturition were identified in patients exhibiting detrusor-sphincteric imbalance.
    • These patterns were observed in both early and advanced stages of reflex micturition.

    Conclusions:

    • The described urodynamic method effectively monitors changes in urethral sphincter function after spinal trauma.
    • Rising sphincter pressure is a key finding in evolving reflex micturition.
    • Detrusor-sphincteric imbalance presents specific urodynamic signatures in spinal cord injury patients.