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Non‐obstructive Detrusor Failure. A Urodynamic, Electromyographic, Neurohistochemical and Autonomic Study
Author(s) -
KIRBY R. S.,
FOWLER CLARE,
GILPIN SALLYANN,
HOLLY ELIZABETH,
MILROY E. J. G.,
GOSLING J. A.,
BANNISTER R.,
TURNERWAHWICK R.
Publication year - 1983
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.1983.tb03398.x
Subject(s) - electromyography , medicine , cauda equina , urethral sphincter , external anal sphincter , sphincter , detrusor muscle , urinary bladder , urology , reflex , urodynamic studies , urethra , anal sphincter , lumbosacral plexus , urinary incontinence , anesthesia , surgery , physical medicine and rehabilitation , rectum , spinal cord , anal canal , psychiatry
Summary— Twenty‐eight patients presenting with persistent loss of the voiding reflex have been evaluated. Those with cauda equina lesions or pelvic nerve injury were distinguished from a group with idiopathic detrusor failure by their abnormal urethral behaviour during filling, and by urethral sphincter electromyography (EMG). Bladder muscle biopsies revealed the presence of presumptive cholinergic fibres in all three groups, indistinguishable in quantity and distribution from normal controls. The implications of these findings for the diagnosis and management of these patients is discussed.