Urodynamics in comatose patients | Zendy

Wyndaele J. J. | Zendy

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Urodynamics in comatose patients

Author(s) -

Wyndaele J. J.

Publication year - 1990

Publication title -

neurourology and urodynamics

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.918

H-Index - 90

eISSN - 1520-6777

pISSN - 0733-2467

DOI - 10.1002/nau.1930090106

Subject(s) - medicine , cystometry , coma (optics) , urination , urinary system , lesion , urology , sphincter , urinary bladder , anesthesia , surgery , physics , optics

Urodynamics were investigated in 15 patients in coma due to brain lesion. In 5 acute patients who had spontaneous micturition, cystometry showed bladder overactivity. A low‐compliance bladder with a large capacity and noncontractile detrusor was found in 5 acute patients with temporary urinary retention. In 5 patients with prolonged coma, complete bladder emptying and detrusor‐sphincter synergia was found. These findings are correlated with modern concepts of lower urinary tract neurophysiology.

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