Article

Objectives - To study the correlation between neurological level of spinal injury
and bladder functions as detected by urodynamic study.
Analytical
study. Setting and participants Seventy individuals with traumatic spinal cord
injury (SCI) admitted to the Department of Physical Medicine and Rehabilitation,
S.M.S. Medical College and Hospital, Jaipur. Detailed clinical, neurological
evaluation as per American Spinal Injury Association Classification and
radiological assessment were done along with clinical examination of bladder and
urodynamic study. Results Out of 65 patients with suprasacral injuries, 53
(81.5%) demonstrated hyperreflexia with or without detrusor sphincter
dyssynergia, 6 (9.2%) detrusor areflexia, and 6 (9.2%) had normal bladders, 41
(59.4%) low compliance (<20 ml/cmH2O), and 47 (72.30%) had high detrusor leak
pint pressures (>40 cmH2O). Of the five patients with sacral injuries, one (20%)
showed detrusor hyperreflexia, four (80%) detrusor areflexia, and one (20%) had
low bladder compliance; all five (100%) had high detrusor leak point pressures.
Conclusions The correlation between somatic neurologic findings, spinal imaging
studies, and urodynamic findings in patients with SCI is not exact. Therefore,
bladder management should not completely rely only on clinical bladder evaluation
or neurological examination alone, but should always include urodynamic studies.

Langue : ANGLAIS