M Vírseda-Chamorro1, J Salinas-Casado2, Á Barroso-Manso3, P Gutiérrez-Martín3, M E Fuertes1. 1. Urology Department, Hospital Nacional de Parapléjicos, Toledo, Spain. 2. Urology Department, Hospital Clínico de San Carlos, Complutense University, Madrid, Spain. 3. Urology Department, Hospital Virgen de la Salud, Toledo, Spain.
Abstract
STUDY DESIGN: A prospective and a case-matched control study. OBJECTIVES: To study the lower urinary tract dysfunction associated with bladder lithiasis in patients with spinal cord injury (SCI). SETTING: Toledo (Spain). METHODS: We have carried out a urodynamic study in 30 patients with SCI with lithiasis in their bladder before and 3 months after bladder endoscopic lithotripsy. This second study was compared with the urodynamic findings of a different group of 30 patients with SCI, without a history of bladder lithiasis, paired with cases by gender and date of urodynamic study. RESULTS: We have found that the prevalence of neurogenic detrusor overactivity (NDO) was significantly different after bladder lithotripsy, although the cystomanometric capacity was significantly increased. A group of patients with lithiasis showed a maximum flow rate, a voiding maximum detrusor pressure and the detrusor contractility parameter Wmax lower than that in controls. On the other hand, a voiding abdominal straining was found to be significantly greater than that in controls. CONCLUSIONS: Bladder lithiasis affects the presence of NDO in patients with SCI. Patients with SCI who develop bladder lithiasis present a lower detrusor contractility power compared with those who do not.
STUDY DESIGN: A prospective and a case-matched control study. OBJECTIVES: To study the lower urinary tract dysfunction associated with bladder lithiasis in patients with spinal cord injury (SCI). SETTING: Toledo (Spain). METHODS: We have carried out a urodynamic study in 30 patients with SCI with lithiasis in their bladder before and 3 months after bladder endoscopic lithotripsy. This second study was compared with the urodynamic findings of a different group of 30 patients with SCI, without a history of bladder lithiasis, paired with cases by gender and date of urodynamic study. RESULTS: We have found that the prevalence of neurogenic detrusor overactivity (NDO) was significantly different after bladder lithotripsy, although the cystomanometric capacity was significantly increased. A group of patients with lithiasis showed a maximum flow rate, a voiding maximum detrusor pressure and the detrusor contractility parameter Wmax lower than that in controls. On the other hand, a voiding abdominal straining was found to be significantly greater than that in controls. CONCLUSIONS:Bladder lithiasis affects the presence of NDO in patients with SCI. Patients with SCI who develop bladder lithiasis present a lower detrusor contractility power compared with those who do not.
Authors: Werner Schäfer; Paul Abrams; Limin Liao; Anders Mattiasson; Francesco Pesce; Anders Spangberg; Arthur M Sterling; Norman R Zinner; Philip van Kerrebroeck Journal: Neurourol Urodyn Date: 2002 Impact factor: 2.696
Authors: Paul Abrams; Linda Cardozo; Magnus Fall; Derek Griffiths; Peter Rosier; Ulf Ulmsten; Philip Van Kerrebroeck; Arne Victor; Alan Wein Journal: Urology Date: 2003-01 Impact factor: 2.649
Authors: Jesus Salinas; Miguel Virseda; Santiago Méndez; Pablo Menéndez; Manuel Esteban; Jesus Moreno Journal: Int Urogynecol J Date: 2015-05-23 Impact factor: 2.894
Authors: Jong Wook Kim; Mi Mi Oh; Hong Seok Park; Jun Cheon; Jeong Gu Lee; Je Jong Kim; Du Geon Moon Journal: Urology Date: 2014-09-08 Impact factor: 2.649
Authors: F Millán-Rodríguez; C Errando-Smet; F Rousaud-Barón; F Izquierdo-Latorre; A Rousaud-Barón; H Villavicencio-Mavrich Journal: BJU Int Date: 2004-06 Impact factor: 5.588
Authors: M Vírseda-Chamorro; J Salinas-Casado; M de la Marta-García; M Esteban-Fuertes; S Méndez Journal: Spinal Cord Date: 2014-03-25 Impact factor: 2.772