Bladder Storage and Emptying Disorder Frequencies in Hemorrhagic and Ischemic Stroke Patients with Bladder Dysfunction

Ersöz, Murat; Tunç, Hakan; Akyuz, Müfit; Özel, Sumru

doi:10.1159/000088670

Cited by 36 publications

(26 citation statements)

References 28 publications

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“…12 The lower limit of the normal bladder capacity was determined as 300 ml for adult patients. [13][14][15][16] The lower limit was determined as 300 ml in the children who were X10 years old, similar to adult patients, as the expected bladder capacity measured with the formula was 4300 ml in these children. Storage disorder presence was accepted if the maximum cystometric capacity measured during the filling phase was o300 ml in adult patients and in children 410 years and if the maximum cystometric capacity measured during the filling phase was lower than the expected bladder capacity in children o10 years.…”

Section: Methodsmentioning

confidence: 99%

Comparison of urodynamic findings in patients with upper and lower cervical spinal cord injury

2013

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Study design: Retrospective study.Objectives: To analyze the neurogenic bladder characteristics and treatment approaches in patients with upper and lower cervical spinal cord injury (SCI) in order to make proper and reasonable decisions to the relevant patients. Setting: Rehabilitation center in Ankara, Turkey. Method: Ninety patients with cervical SCI were included. The urodynamic analyses of the patients were conducted retrospectively by using the urodynamic laboratory records. The patients were divided into two groups as the upper cervical SCI (UCSCI) group (C1-C5) and lower cervical SCI (LCSCI) group (C6-C8). Results: In this study, 82 male (91.1%) and 8 (8.9%) female patients were included. There were 51 UCSCI patients with the mean age of 34.2 ± 16.1 years and 39 LCSCI patients with the mean age of 30.4 ± 12.5 years. Detrusor overactivity and preservation of the bladder-filling sensation were significantly more frequent in the UCSCI group than in the LCSCI group (P ¼ 0.048, P ¼ 0.000 respectively). Moreover, there were statistically significant differences between the groups regarding the bladder-emptying methods, residual volume and the frequency of anticholinergic and alpha blocker use (all Po0.05). No significant difference was found between the groups regarding the frequency of autonomic dysreflexia, detrusor hypocompliancy and the bladder-storage and -emptying disorders (all P40.05). INTRODUCTIONSpinal cord injury (SCI) is a disease that is resulted by traumatic or nontraumatic reasons, and it causes restriction of self-care, mobilization and daily activities of the patients to a considerable degree. The SCI incidence was reported to be 15-40 per million. 1,2 The damage as a result of this injury not only limits the movement of the patient but also causes vital changes in the functions of many organs and lead to life-threatening complications. The aforementioned problems are more severe in cases of cervical SCI. Neurogenic bladder is commonplace in SCI patients. It decreases life span and adversely affects the quality of life. [3][4][5][6] Although the neurogenic bladder was one of the most important cause of morbidity/mortality in SCI patients in the past when the examination and treatment were not sufficiently developed, it has reached to a curable level today as a result of new developments.The purpose of this study was to analyze the neurogenic bladder characteristics and treatment approaches retrospectively in the cervical SCI cases by using the urodynamic records of our hospital. As there were some differences in the functional abilities like hand function, sitting balance, and so on in upper (C1-C5) and lower (C6-C8) cervical SCI patients, we hypothesized that neurogenic bladder characteristics and treatment approaches would also differ in these groups. The aim of this study was to make proper and reasonable decisions for the neurogenic bladder treatment approaches in relevant patients with cervical SCI.

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Section: Methodsmentioning

confidence: 99%

Comparison of urodynamic findings in patients with upper and lower cervical spinal cord injury

2013

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“…Em estudos prévios, alterações de armazenamento são descritas em 73,3% no AVCh e 63,6% nos isquêmicos. Em relação as queixas de esvaziamento, com predominância para o grupo de AVCi com 51,5% e 13,3% no hemorrágico 25 . Para Fowler 6 , noctúria esteve presente em 36% dos pacientes até três meses após o AVC, seguido de 29% com urgeincontinência, 25% hesitação, e 6% retenção urinária.…”

Section: Discussionunclassified

Análise da relação entre sintomas urinários e topografia da lesão cerebral em pacientes com acidente vascular cerebral

Banaszeski¹,

Christo

2018

Cienc. Saude

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Observou-se que na ocorrência de lesões extensas acometendo a área frontal-parietal-temporal-occiptal (p=0,001), alterações cognitivas (p=0,001) e afasia (p=0,001) houve relação estatística significativa com a presença de incontinência urinária contínua nestes pacientes. Nos pacientes com lesão fronto-parietal houve associação com o sintoma urgência (p=0,050), urgeincontinência urinária (p=0,042), incontinência urinária de esforço (p=0,019) e polaciúria (p=0,042). Conclusão: Segundo a amostra estudada, observamos que alterações cognitivas e afasia tiveram correlação com a incontinência urinária contínua. Em relação a topografia de lesão cerebral houve associação entre lesões em região fronto-parietal com os sintomas de urgência, urgeincontinência, incontinência de esforço e polaciúria; e na ocorrência de lesão cerebral extensa houve prevalência de incontinência urinária contínua.Palavras-chave: acidente vascular cerebral; transtornos urinários; lesões cerebrais. ABSTRACT Objective: This study analyzed the relation between brain injury topography and bladder dysfunction in patients with ischemic and hemorrhagic stroke by comparing the brain region affected with lower urinary tract symptoms (LUTS

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“…MC was defined as a patient experienced sensation that would normally lead to immediate evacuation of the bladder, the volume at the time as intravesical pressure was above 40 cm H 2 O, and the volume at the time as the beginning of voiding without control (11). Storage dysfunction was defined as MC was less than 300 mL and emptying dysfunction was defined as PVR was 50 mL or more (12). Detrusor overactivity (DO) was defined as a spontaneously non-volutional detrusor contractions in the storage phase of urodynamic study (11).…”

Section: Methodsmentioning

confidence: 99%

Relationship of Bladder Function with Toe Position Sense, Neurological Level, Lesion Severity, and Bulbocavernosus Reflex in Patients with Spinal Cord Injury

Kulaklı¹,

Ersöz²,

Eguz³

et al. 2015

Turk J Phys Med Rehab

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Objective: Examination of the relationship among toe position sense (TPS), neurological level (cervical, thoracic, lumbosacral), severity of the lesion (complete, incomplete), bulbocavernosus reflex (BCR), and bladder behavior in patients with spinal cord injury (SCI). Material and Methods: Fifty-nine patients with SCI were included in the study. Patient characteristics, TPS, and BCR were recorded. Neurological level and lesion severity were determined according to the American Spinal Injury Association Impairment Scale (AIS) classification. Maximum cystometric capacity (MC), storage and emptying function, type of detrusor (overactive, acontractile-underactive), spontaneous voided urine volume (SVU), and post-void residual urine volume (PVR) values were established performing the urodynamic study. Results: Neurological level, lesion severity, TPS, and BCR were not significantly correlated with storage dysfunction, emptying dysfunction, type of detrusor, MC, and PVR (p>0.05). SVU was significantly lower in patients without TPS than in patients with TPS and in complete lesions than in incomplete lesions (p<0.05). Conclusion:The presence of TPS could be a predictive finding in terms of SVU. We can say that neurological level, lesion severity, and BCR are not adequate parameters to predict bladder dysfunction; therefore, urodynamic evaluation is necessary for each patient with SCI.

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Bladder Storage and Emptying Disorder Frequencies in Hemorrhagic and Ischemic Stroke Patients with Bladder Dysfunction

Cited by 36 publications

References 28 publications

Comparison of urodynamic findings in patients with upper and lower cervical spinal cord injury

Comparison of urodynamic findings in patients with upper and lower cervical spinal cord injury

Análise da relação entre sintomas urinários e topografia da lesão cerebral em pacientes com acidente vascular cerebral

Relationship of Bladder Function with Toe Position Sense, Neurological Level, Lesion Severity, and Bulbocavernosus Reflex in Patients with Spinal Cord Injury

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