Analysis of High Risk Urodynamic Factors in Neuropathic Bladder

Kim, Hyung Jee; Woo, Do Shik; Lee, Gil Ho

Abstract

PURPOSE: The main objective in management of neuropathic bladder is the preservation of renal function because the renal deterioration is the most serious problem of neuropathic bladder. We investigated risk factors for renal dysfunction in neuropathic bladder. MATERIALS AND METHOD: A total 75 patients of neuropathic bladder with voiding dysfunction was evaluated by urodynamic study and we analyzed the risk factors associated with upper urinary tract deterioration.
RESULTS
High risk factor In developing renal dysfunction in cerebrovascular accident was high detrusor pressure, however in cases of spinal cord injury, detrusor external sphincter dyssynergia, high detrusor pressure and low compliance were risk factors of upper tract deterioration.
CONCLUSIONS
In management of neuropathic bladder, the abnormalities of individual lesion-specific urodynamic parameters(detrusor sphincter dyssynergia, low compliance, high detrusor pressure) should be factored into the assessment of upper urinary tract deterioration.