The impact of urodynamic parameters on the upper tracts of spinal cord injured men who void reflexly

The Journal of Spinal Cord Medicine
T A LinsenmeyerB Gendron

Abstract

Few studies have evaluated which urodynamic parameters impact the upper urinary tracts in men with complete spinal cord injuries (SCI) who void reflexly. Previous studies focused primarily on voiding pressures. This study investigated the effects of bladder wall compliance, opening pressure, maximum detrusor voiding pressure, duration of the uninhibited contraction, cystometric bladder capacity and post-void residual on vesicoureteral reflux and stasis of the upper tracts. Urodynamic studies, cystograms and renal scans of 84 consecutive men with complete SCI who void reflexly were evaluated. Of the 84 patients (168 renal units), 71 men (142 renal units) had normal upper tracts, four patients (four renal units) had vesicoureteral reflux and nine patients (15 renal units--12 bilateral, three unilateral) had upper urinary tract stasis. There was no statistical difference between those with reflux and those without reflux with regards to any urodynamic parameter evaluated. When comparing those with and without upper urinary tract stasis, the only statistically significant difference in urodynamic parameters was the duration of bladder contraction. The mean duration of the uninhibited contraction in the non-stasis group was 113.7 se...Continue Reading

Citations

Feb 15, 2012·Der Urologe. Ausg. A·A Kaufmann, I Kurze
Feb 8, 2013·Neurourology and Urodynamics·Eric RovnerCornelia Haag-Molkenteller
Dec 24, 2015·Neurourology and Urodynamics·Tufan TarcanDavid Castro-Diaz
Jul 22, 2014·Neurourology and Urodynamics·Francisco Cruz, Victor Nitti
Nov 9, 2000·BJU International·T M Lane, P J Shah
Jun 6, 2019·Minerva urologica e nefrologica = The Italian journal of urology and nephrology·Andrea BragaEnrico Finazzi Agrò
Nov 19, 2020·Neurourology and Urodynamics·Bülent ÖnalBülent Çetinel
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Nov 26, 2010·The Medical Clinics of North America·Adam P Klausner, William D Steers
Jun 1, 2007·The Journal of Spinal Cord Medicine·C H HoS R Millis

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