PMID: 9527157Apr 4, 1998Paper

Stress induced urinary incontinence in patients with spinocerebellar degeneration

Journal of Neurology, Neurosurgery, and Psychiatry
R SakakibaraK Yasuda

Abstract

To examine the pathophysiology of "stress induced urinary incontinence" (urinary incontinence evoked by abdominal straining) in patients with spinocerebellar degeneration. Micturitional symptoms of 184 patients with spinocerebellar degeneration who were admitted to hospital were studied repeatedly. Urodynamic studies were made in symptomatic patients, and consisted of uroflowmetry, measurement of residual urine, urethral pressure profilometry, medium fill water cystometry, and external sphincter EMG. Twenty nine (15.8%) patients with spinocerebellar degeneration showed stress induced urinary incontinence. Twenty of the 29 patients had detrusor overactivity, low compliance detrusor, or residual urine, resembling urgency and overflow types of incontinence (complicated form). The other nine had none of these findings (pure form), but showed decreased maximum urethral closure pressure in four, absence of bulbocavernosus reflex in two, absence of voluntary sphincter contraction in one, incompetent urinary storage even at the first sensation in two, and high amplitude and polyphasic neurogenic changes in three of five patients studied, indicative of neurogenic sphincter dysfunction. Stress induced urinary incontinence in spinocerebel...Continue Reading

Citations

Dec 22, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·R SakakibaraT Yamanishi
Nov 18, 2005·Journal of Neurology, Neurosurgery, and Psychiatry·T YamamotoT Hattori
Sep 10, 2008·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Ryuji SakakibaraMasahiko Kishi
Oct 15, 2005·Neurourology and Urodynamics·Simon PodnarDavid B Vodusek
Sep 21, 2007·International Journal of Urology : Official Journal of the Japanese Urological Association·Tomoko MashidoriKoichi Hirata
Dec 19, 2020·Annals of Clinical and Translational Neurology·Joana Afonso RibeiroJalesh N Panicker

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