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Related Experiment Videos

Reduction in human bladder wall compliance following decentralization.

J G Sislow1, M E Mayo

  • 1Department of Urology, University of Washington Medical Center, Seattle.

The Journal of Urology
|October 1, 1990
PubMed
Summary
This summary is machine-generated.

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Morbidity of dysfunctional voiding syndrome.

Urology·1997

Patients with voiding symptoms and incontinence after spinal cord injury or pelvic surgery were studied. Radical pelvic operations were linked to a higher prevalence of decreased bladder compliance compared to conal-cauda equina injuries.

Area of Science:

  • Urology
  • Neurology
  • Surgical Science

Background:

  • Areflexia, characterized by absent reflexes, can result from conal-cauda equina injuries or radical pelvic operations.
  • These conditions often lead to voiding dysfunction, including incontinence.
  • Bladder compliance, a measure of the bladder's ability to store urine, is crucial for normal voiding.

Purpose of the Study:

  • To compare the prevalence of decreased bladder compliance in patients with areflexia secondary to conal-cauda equina injury versus radical pelvic operations.
  • To investigate potential differences in urodynamic findings between these two patient groups.

Main Methods:

  • Retrospective review of urodynamic records from 64 patients (33 with conal-cauda equina injury, 31 with radical pelvic operation).

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  • Patients presented with voiding symptoms and/or incontinence.
  • Analysis focused on identifying and comparing the prevalence of decreased bladder compliance.

    • Main Results:

    • A higher prevalence of decreased bladder compliance was observed in patients who underwent radical pelvic operations compared to those with conal-cauda equina injury.
    • This finding contrasts with some previously reported experimental and clinical evidence.
    • Urodynamic findings indicated significant differences in bladder function between the two etiological groups.

    Conclusions:

    • Radical pelvic operations may be associated with a greater risk of decreased bladder compliance than conal-cauda equina injuries in patients with areflexia.
    • Further research is warranted to elucidate the mechanisms underlying these differences.
    • Clinical management strategies for voiding dysfunction should consider the underlying cause of areflexia.