Urinary flow and flow pattern in paralegics

In 34 paraplegics with neurogenic bladder dysfunction 108 uroflowmetries were performed using the uroflowmeter described by Garrelts and Strandell. Paraplegics show according to their pathophysiology of bladder emptying characteristic flow pattern. Their urinary flow rates are diminished. The decrease as compared with healthy people is nearly similar for patients with automatic and with autonomous areflexic bladders. Some pathophysiological aspects for these findings are discussed. One may conclude that decreased urinary flow and altered flow pattern, as changes of urodynamics in general, can be regarded as one of the factors causing recurrent bacteriuria and urinary infections in paraplegics.