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Titolo:
Urodynamic and rectomanometric findings in patients with spinal cord injury
Autore:
Pannek, J; Greving, I; Tegenthoff, M; Nediat, S; Botel, U; May, B; Enck, P; Senge, T;
Indirizzi:
Ruhr Univ Bochum, Dept Urol, D-4690 Herne, Germany Ruhr Univ Bochum Herne Germany D-4690 , Dept Urol, D-4690 Herne, Germany Ruhr Univ Bochum, Dept Gastroenterol, D-4690 Herne, Germany Ruhr Univ Bochum Herne Germany D-4690 stroenterol, D-4690 Herne, Germany Ruhr Univ Bochum, Dept Neurol, D-4690 Herne, Germany Ruhr Univ Bochum Herne Germany D-4690 Dept Neurol, D-4690 Herne, Germany Ruhr Univ Bochum, Dept Spinal Cord Injury, D-4690 Herne, Germany Ruhr UnivBochum Herne Germany D-4690 Cord Injury, D-4690 Herne, Germany Univ Tubingen, Dept Gen Surg, Tubingen, Germany Univ Tubingen Tubingen Germany bingen, Dept Gen Surg, Tubingen, Germany
Titolo Testata:
NEUROUROLOGY AND URODYNAMICS
fascicolo: 1, volume: 20, anno: 2001,
pagine: 95 - 103
SICI:
0733-2467(2001)20:1<95:UARFIP>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Keywords:
urodynamics; rectomanometry; spinal cord injury; neurogenic bladder dysfunction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
12
Recensione:
Indirizzi per estratti:
Indirizzo: Pannek, J Ruhr Univ Bochum, Marienhosp Herne, Urol Klin, Widumer Str 8, D-44627 Herne, Germany Ruhr Univ Bochum Widumer Str 8 Herne Germany D-44627 e, Germany
Citazione:
J. Pannek et al., "Urodynamic and rectomanometric findings in patients with spinal cord injury", NEUROUROL U, 20(1), 2001, pp. 95-103

Abstract

Patients with spinal cord lesion suffer from complex disorders of bladder and anorectal function. We assessed the value of urodynamics and anorectal manometry as prognostic and diagnostic tools in these patients and evaluated the usefulness of these techniques for the differentiation between complete and incomplete spinal cord lesions. Thirty patients with suprasacral spinal cord injury (six women, 24 men: mean age, 31 years) underwent anorectalmanometry and urodynamics within the first 40 days after injury. The findings were compared to the results of a clinical neurologic evaluation. Fifteen patients were classified as complete lesions on their clinical signs, three of these lesions were incomplete according to urodynamic testing and five were incomplete according to visceral sensory testing by anorectal manometry. Despite significant differences in maximum bladder capacity (589 versus 465 mL), maximum detrusor pressure (18 versus 31 cm H2O) was not significantly different between patients with complete and patients with incomplete spinal cord injury. Anorectal manometry did not reveal any significant differences in resting pressure, abdominal pressure, and maximal rectum volume between these groups. Urodynamics and anorectal manometry may be superiorto neurologic assessment of completeness of spinal cord lesions. Urodynamics and anorectal manometry were not helpful in the prediction of onset or severity of detrusor hyperreflexia. Thus. we do not regard anorectal manometry as a standard diagnostic tool in spinal cord injury patients. Neurourol. Urodynam. 20:95-103, 2001. (C) 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/09/20 alle ore 10:49:45