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The Effect of Ubretid on Bladder Function after Recent Complete Spinal Cord Injury
Author(s) -
SMITH P. H.,
COOK J. B.,
PRASAD E. W. M.
Publication year - 1974
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1974.tb03742.x
Subject(s) - spinal cord injury , medicine , spinal cord , urine , anesthesia , carbachol , urinary bladder , urology , cord , surgery , stimulation , psychiatry
SUMMARY Recordings of bladder pressure and urine flow have been carried out in 4 patients in the early weeks after spinal cord injury in the control situation, following the injection of 0–25 mg carbachol, and after injection of 0–5 mg Ubretid. In the control situation the bladder pressure remains constant and low. Following the injection of carbachol there is a predictable rise in the bladder pressure of 30 to 60 cm of water which gradually falls towards the base line after 30 to 50 minutes and, on occasions, is associated with a flow of urine. After the injection of Ubretid the basal bladder pressure rises and rhythmical contractions occur, of 10 to 60 cm of water in maximum height but in no case did this assist the patient to void urine. In our view Ubretid is not indicated in the management of the bladder in early weeks after spinal cord injury.