[Development and course of functional urinary retention in paraplegic patients]

The urographic follow-up series of 453 patients of a paraplegic rehabilitation center are checked to obstructive uropathies. In 33 patients (7.3%) mostly asymptomatic obstructions were found. The onset of the urinary transport disorder is in 71% of the patients in the first year after the accident. Therefore, roentgenological and urodynamical investigations are necessary in the first years after the paralysis. The urological follow-up must be done for life as secondary morphological changes of the urinary tract are the cause of late obstructions. The prognosis of urinary transport disorders of the upper urinary tract is favourable in the case of timely and purposeful treatment. The development of a high-pressure system of the urinary bladder is the most important causal factor for qualified urodynamical diagnostic measures. Therefore, the therapeutic influence on the development of this high-pressure system is important in the prophylaxis and therapy of urinary obstruction.