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Detrusor hyperreflexia inhibited by anal dilatation

C J Godec

    Urology
    |March 1, 1980
    PubMed
    Summary

    Anal dilatation can help manage urge incontinence caused by detrusor hyperreflexia. This study found improved bladder capacity and reduced hyperreflexia in most patients after the procedure.

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    Area of Science:

    • Urology
    • Neuroscience

    Background:

    • Urge incontinence is a common condition often linked to detrusor hyperreflexia.
    • Detrusor hyperreflexia involves involuntary bladder muscle contractions.

    Purpose of the Study:

    • To investigate the effect of calibrated anal dilatation on urge incontinence.
    • To explore the potential mechanism behind this therapeutic response.

    Main Methods:

    • Six patients with urge incontinence due to detrusor hyperreflexia were included.
    • Cystometrograms were performed before and during calibrated anal dilatation.

    Main Results:

    • Four out of six patients demonstrated increased bladder capacity and decreased detrusor hyperreflexia.
    • Two patients showed a normalization of their cystometrogram curves.
    • The response suggests a potential neurological or reflex pathway modulation.

    Conclusions:

    • Calibrated anal dilatation may offer a non-invasive treatment option for urge incontinence.
    • The findings suggest a reflex mechanism that can modulate bladder function.

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