The Description of Urodynamic Study for Bladder Dysfunction in Compressive Myelo- or Radiculo-pathy: A Prospective...

Area of Science:

• Urology
• Neurology
• Urodynamics

Background:

• Neurogenic bladder is a common complication in patients with myelopathies.
• Effective management is crucial to prevent upper urinary tract damage and improve quality of life.

Purpose of the Study:

• To evaluate the role of filling cystometry, pressure flow studies, and bladder electromyography (EMG) in assessing and managing neurogenic bladder in myelopathy patients.
• To assess neurological recovery and its correlation with bladder management outcomes.

Main Methods:

• A 3-year prospective urodynamic study involving 63 patients with traumatic and nontraumatic myelopathy.
• Bladder management strategies were determined by cystometric findings.
• Neurological recovery and bladder management were monitored during follow-up (minimum 6 months).

Main Results:

• Overactive detrusor was observed in 46 patients (17 with detrusor sphincter dyssynergia), and areflexic/underactive detrusor in 9 patients.
• Significant postvoid residual urine was noted in 27 patients.
• Neurological recovery occurred in 60.3% of patients; bladder management and neurological recovery showed no significant correlation (P > 0.05).

Conclusions:

• Filling cystometry with pressure flow studies and EMG are valuable tools for neurogenic bladder assessment and management in myelopathy.
• Pressure flow studies are essential for preventing upper urinary tract complications in neurogenic bladder management and follow-up.