Home monitoring of bladder pressure and volume in individuals with spinal cord injury and multiple sclerosis

The Journal of Spinal Cord Medicine
J S WalterM S Damaser

Abstract

Individuals with spinal cord injury and multiple sclerosis are at high risk for developing kidney dysfunction due to high bladder pressures. We have developed a device for frequent monitoring of bladder pressures at home in those patients who use intermittent catheterization to empty their bladders. Of eight subjects enrolled in the study, only five conducted home recording of pressure. Vesical and abdominal pressures measured at home were significantly lower than clinical cystometric pressures. However, subtracted detrusor pressures obtained from home records and cystometric records were not significantly different. The home detrusor pressures were consistent over a large time and volume range. Therefore, the home monitoring method could be used to establish a normal range of bladder pressures at home and to rapidly identify high bladder pressures in advance of upper urinary tract deterioration.

Citations

Feb 24, 2001·Multiple Sclerosis : Clinical and Laboratory Research·L J HillmanG H Kraft
Oct 20, 1999·Current Opinion in Obstetrics & Gynecology·A P Cassidenti, D R Ostergard
Apr 23, 2003·Neurourology and Urodynamics·Corri L FergusonMargot S Damaser

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