Urological symptomatology in patients with reflex sympathetic dystrophy.

Publication/Presentation Date

2-1-1996

Abstract

PURPOSE: We determined the effect of reflex sympathetic dystrophy on lower urinary tract function.

MATERIALS AND METHODS: A total of 20 consecutive patients (16 women and 4 men) with neurologically verified reflex sympathetic dystrophy was referred for voiding symptoms, including urgency, frequency, incontinence and urinary retention. No patient had had voiding symptoms before the initial trauma that induced reflex sympathetic dystrophy. Evaluation included medical history, physical examination, video urodynamic testing and cystoscopy.

RESULTS: Mean patient age was 43.4 +/- 10.2 years (range 28 to 58) and mean duration of urological symptoms was 4.9 +/- 3.6 years (range 1 to 14). Urodynamic study demonstrated a mean cystometric bladder capacity of 417 +/- 182 ml. (range 120 to 700). The urodynamic diagnoses included detrusor hyperreflexia in 8 patients, detrusor areflexia in 8, sensory urgency in 3 and detrusor hyperreflexia with detrusor-external sphincter dyssynergia in 1. In 4 women genuine stress urinary incontinence was also documented urodynamically.

CONCLUSIONS: Reflex sympathetic dystrophy may have a profound effect on detrusor and sphincter function.

Volume

155

Issue

2

First Page

634

Last Page

637

ISSN

0022-5347

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

8558679

Department(s)

Administration and Leadership

Document Type

Article

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