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Postural detrusor hyperreflexia

J T Andersen, W E Bradley

    The Journal of Urology
    |August 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Postural hyperreflexia, a bladder dysfunction syndrome, is now identified in both sexes with neurological disorders. This indicates impaired supraspinal control over the sacral micturition center.

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    Area of Science:

    • Neuroscience
    • Urology
    • Physiology

    Background:

    • Previous studies documented postural changes in bladder function solely in female patients with incontinence and no underlying neurological or urological disease.
    • The specific syndrome of postural hyperreflexia was not previously described in a broader patient population.

    Purpose of the Study:

    • To describe the syndrome of postural hyperreflexia in patients of both sexes with diverse neurological disorders.
    • To investigate the underlying mechanisms of postural hyperreflexia in this patient group.

    Main Methods:

    • Patient recruitment included individuals with various neurological conditions.
    • Bladder function was assessed, focusing on responses to postural changes.
    • Investigations aimed to evaluate the supraspinal control of the sacral micturition center.

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    Main Results:

    • The syndrome of postural hyperreflexia was observed in male and female patients with a range of neurological disorders.
    • These findings suggest a broader manifestation of postural hyperreflexia than previously recognized.
    • Impaired function of supraspinal control of the sacral micturition center was identified as a key factor.

    Conclusions:

    • Postural hyperreflexia is not limited to female incontinent patients and can occur in individuals with neurological disorders.
    • The syndrome is associated with impaired supraspinal control mechanisms regulating bladder function.
    • This study expands the understanding of neurogenic bladder dysfunction and postural influences.