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Related Experiment Videos

Urinary dysfunction in transverse myelitis.

Y Berger1, J G Blaivas, L Oliver

  • 1Division of Urology, University of Medicine & Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick.

The Journal of Urology
|July 1, 1990
PubMed
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Transverse myelitis can cause lasting bladder and sexual problems, even after neurological recovery. Urodynamic studies are crucial for managing these persistent urinary tract symptoms.

Area of Science:

  • Neurology
  • Urology

Background:

  • Transverse myelitis is an inflammatory condition affecting the spinal cord.
  • Persistent lower urinary tract symptoms are common sequelae.

Purpose of the Study:

  • To evaluate the neurourological and urodynamic profiles of patients with transverse myelitis and lower urinary tract symptoms.
  • To assess the persistence of bladder and sexual dysfunction despite neurological recovery.

Main Methods:

  • Neurourological evaluation of 8 patients (6 men, 2 women) with a history of transverse myelitis.
  • Urodynamic studies to assess bladder and sphincter function.
  • Assessment of neurological deficits and sexual dysfunction.

Main Results:

  • Detrusor-external sphincter dyssynergia was found in 6 patients.

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  • Detrusor hyperreflexia was present in 2 patients, with one also having an incompetent sphincter.
  • 3 men reported erectile or ejaculatory dysfunction.
  • 4 patients were neurologically intact, while others had residual deficits.

    • Conclusions:

    • Spinal cord inflammation from transverse myelitis can lead to prolonged bladder and sexual dysfunction.
    • These dysfunctions may persist even with systemic neurological recovery.
    • Bladder management guided by serial urodynamic evaluations is recommended.