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The neurogenic bladder: anatomy and neurophysiology
Paolo Campioni1, Stefania Goletti, Francesco Palladino
1Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico A. Gemelli, Roma, Italy. pcampioni@rm.unicatt.it
Rays
|April 17, 2003
Summary
Micturition disorders are often symptoms of complex diseases, not standalone conditions. Voiding cystourethrography aids in diagnosing neural alterations affecting bladder function and detecting complications.
Area of Science:
- Neurology
- Urology
- Radiology
Background:
- Micturition disorders frequently stem from complex neurological diseases, often misunderstood and leading to patient harm.
- Diagnostic imaging is crucial for identifying neural alterations impacting bladder control.
Purpose of the Study:
- To highlight the role of voiding cystourethrography in diagnosing neurogenic bladder.
- To emphasize the integration of imaging and urodynamics for precise lesion localization.
- To underscore the importance of early detection of neurogenic bladder complications.
Main Methods:
- Utilizing voiding cystourethrography for morphologic and functional assessment of micturition.
- Integrating radiologic morphofunctional imaging with urodynamic pressure measurements.
- Employing modern diagnostic imaging to detect complications like diverticula, lithiasis, and inflammation.
Main Results:
- Voiding cystourethrography effectively documents micturition dynamics.
- Combined imaging and urodynamics allow for better definition of neural lesion type and level.
- Diagnostic imaging facilitates the detection of frequent neurogenic bladder complications.
Conclusions:
- Micturition disorders require comprehensive evaluation to identify underlying neurological conditions.
- Voiding cystourethrography is a key imaging modality for assessing neurogenic bladder.
- Accurate diagnosis and management of neurogenic bladder complications are essential to prevent severe patient damage.