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Related Experiment Videos

[Urodynamic studies in patients with intervertebral prolapse].

N Murayama1, T Yamanishi, K Yasuda

  • 1Department of Urology, School of Medicine, Chiba University.

Nihon Hinyokika Gakkai Zasshi. the Japanese Journal of Urology
|April 1, 1991
PubMed
Summary

Intervertebral disc prolapse (IDP) can cause voiding dysfunction, often linked to perineal hyposensitivity. Urodynamic studies revealed abnormalities in most patients, with surgery improving function for many.

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Area of Science:

  • Urology
  • Neurology
  • Orthopedics

Context:

  • Intervertebral disc prolapse (IDP) affects spinal cord segments, potentially impacting bladder function.
  • Preoperative assessment of voiding dysfunction in IDP patients is crucial for surgical planning.
  • Urodynamic studies are valuable tools for evaluating lower urinary tract symptoms in neurological conditions.

Purpose:

  • To investigate the prevalence and characteristics of urodynamic abnormalities in patients with IDP.
  • To determine the correlation between urodynamic findings, perineal sensation, and voiding dysfunction.
  • To assess the impact of surgical intervention on voiding function in IDP patients.

Summary:

  • Thirty-one patients with IDP underwent preoperative urodynamic evaluation.

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  • 74% of patients exhibited urodynamic abnormalities, frequently associated with perineal hyposensitivity.
  • Postoperative assessment in 22 patients showed improvement in voiding function for 64%.

    • Impact:

    • Perineal hyposensitivity may indicate underlying voiding dysfunction in IDP patients.
    • Urodynamic assessment can guide treatment strategies for IDP-related bladder issues.
    • Orthopedic surgery demonstrates potential for improving voiding dysfunction in a majority of IDP patients.