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Related Experiment Videos

Urinary problems in decompression sickness.

A Dounis, D Mitropoulos

    Paraplegia
    |February 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Type II decompression sickness can cause severe urinary issues, including paralysis. Prompt recompression is crucial for better recovery outcomes in affected divers.

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    Area of Science:

    • Diving Medicine
    • Neurology
    • Urology

    Background:

    • Decompression sickness (DCS), particularly Type II, presents significant neurological and physiological challenges.
    • Urinary dysfunction is a recognized but often under-reported complication of severe DCS.
    • Understanding the timeline and severity of DCS-induced urinary problems is essential for patient management.

    Purpose of the Study:

    • To review the clinical records of patients diagnosed with Type II decompression sickness and associated urinary problems.
    • To analyze the onset, severity, and management of urinary disturbances in this patient cohort.
    • To evaluate the impact of recompression timing on urinary function recovery.

    Main Methods:

    • Retrospective review of medical records for 25 patients with Type II DCS and urinary issues.

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  • Data collection included patient demographics, onset of symptoms, neurological status (paraplegia, tetraplegia), and urinary management.
  • Assessment of urinary function outcomes post-recompression therapy.

    • Main Results:

    • Seventeen patients were professional divers; 8 were over 40 years old.
    • DCS symptoms manifested within 1 hour in 70% of cases and within 4 hours in 30%.
    • Nine patients had paraplegia, two had tetraplegia, and all experienced urinary disturbances, requiring catheterization (Foley or intermittent).
    • Fifteen patients showed improved urinary function post-recompression, while 8 had persistent difficulties, necessitating surgical intervention in 3 cases.
    • Delayed arrival at the decompression chamber correlated with a lower percentage of complete urinary function recovery.

    Conclusions:

    • Type II decompression sickness frequently leads to significant neurological deficits and urinary dysfunction.
    • Prompt and effective recompression therapy is critical for improving neurological and urological outcomes.
    • Delayed treatment significantly compromises the chances of full recovery from DCS-related urinary problems.