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Real-Time Void Spot Assay

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Lower urinary tract dysfunction in critical illness polyneuropathy.

¹KontinenzZentrum & Neurourology, Klinik Hirslanden, Lengghalde 6, 8008 Zurich, Switzerland. Tel.: +41 44 387 2910; Fax: +41 44 387 2911;

Neurorehabilitation

|August 17, 2013

Summary

This summary is machine-generated.

Critical illness polyneuropathy (CIP) can affect the lower urinary tract. This study found sensory and motor pathway impairments, leading to common storage and voiding dysfunctions in patients with CIP.

Keywords:

Critical illness polyneuropathy detrusor overactivity neurogenic urinary bladder urinary incontinence urinary retention

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Area of Science:

Neurology
Urology
Intensive Care Medicine

Background:

Critical illness polyneuropathy (CIP) is a common complication in intensive care units.
Autonomic system involvement, specifically lower urinary tract and bowel function, in CIP is underreported in medical literature.

Purpose of the Study:

To investigate potential effects of critical illness polyneuropathy on sensory and motor pathways controlling lower urinary tract function during primary rehabilitation.
To explore the prevalence of lower urinary tract dysfunction in patients with CIP.

Main Methods:

Neurourological examinations were conducted on 28 patients diagnosed with critical illness polyneuropathy.
Urodynamics, electromyography, and lower urinary tract imaging were utilized to assess function and morphology.

Main Results:

Impaired sacral sensation and absent sacral reflexes were observed in a significant portion of patients.
Urodynamic findings revealed high rates of detrusor overactivity, incomplete voiding, and abnormal sphincter activity.
Morphological abnormalities of the lower urinary tract were identified in over 40% of the study cohort.

Conclusions:

Critical illness polyneuropathy may impact the sensory and motor pathways governing lower urinary tract function.
Dysfunctions affecting both storage and voiding phases of bladder activity are prevalent in CIP patients.
Morphological changes in the lower urinary tract are a common finding in individuals with critical illness polyneuropathy.