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[Disorders of bladder function in Parkinson syndrome]
1Urologische Klinik, Fakultät für Klinische Medizin Mannheim, Universität Heidelberg.
Der Urologe. Ausg. A
|July 1, 1990
Summary
Parkinson syndrome patients often have bladder issues. Early relief of bladder outlet obstruction is crucial to prevent secondary bladder dysfunction, especially in males.
Area of Science:
- Urology
- Neurology
Background:
- Parkinson syndrome frequently causes symptomatic bladder dysfunction.
- Urodynamic evaluation is key to diagnosing these issues.
Observation:
- 18 Parkinson patients with bladder dysfunction underwent urodynamic testing.
- Detrusor hyperreflexia affected 56%, with 9 experiencing incontinence.
- Bladder outlet obstruction was noted in 44% of patients.
Findings:
- Detrusor hyperreflexia with incontinence was common.
- Significant bladder outlet obstruction with a non-contractile detrusor and urinary retention was observed in 44% of Parkinson patients.
- Incontinent patients with hyperreflexia also showed bladder outlet obstruction.
Implications:
- Early intervention for bladder outlet obstruction in Parkinson patients is recommended.
- Relieving obstruction, even with minor prostate adenoma or sphincter sclerosis, may prevent irreversible bladder damage.
- This is particularly important for male patients to avoid secondary bladder dysfunction.