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[Changes in bladder contractility in spinal cord diseases].

E Couteau1, J J Labat, P Glemain

  • 1Clinique Urologique, Hôtel-Dieu, Nantes.

Journal D'Urologie
|January 1, 1989
PubMed
Summary
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Bladder contractility changes after central medullary lesions, including spinal shock, follow a developmental pattern. Early sphincterotomy may be needed if bladder emptying is incomplete due to neurological dysfunction.

Area of Science:

  • Neuro-urology
  • Physiology

Context:

  • Central medullary lesions, often from sudden onset trauma or disease, can significantly impact bladder function.
  • Spinal shock, a common consequence, presents unique challenges in managing detrusor activity.

Purpose:

  • To investigate the changes in bladder contractility following central medullary lesions using repeated cystomanometry.
  • To characterize the specific patterns of detrusor dysfunction and their progression.

Summary:

  • Repeated cystomanometry in 147 patients with central medullary lesions revealed consistent modifications in bladder contractility morphology.
  • These changes, including those seen in 93 spinal shock cases, mimic developmental stages of bladder function.
  • Incomplete bladder emptying despite contractions suggests a poor prognosis for spontaneous recovery in complete lesions, indicating potential need for early sphincterotomy.

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Impact:

  • Findings provide insight into the pathophysiology of neurogenic bladder dysfunction.
  • Highlights the importance of early intervention, such as sphincterotomy, for improving outcomes in specific patient populations with severe neurological injury.