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Neurophysiological Measurements in Primary Adult Enuretics
Author(s) -
FIDAS A.,
GALLOWAY N. T. M.,
McINNES A.,
CHISHOLM G. D.
Publication year - 1985
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.1985.tb07022.x
Subject(s) - abnormality , neurophysiology , sensory system , medicine , reflex , neurological examination , urinary system , sensory threshold , physical examination , audiology , physical medicine and rehabilitation , anatomy , neuroscience , psychology , anesthesia , surgery , psychiatry , cognitive science
Summary— The nerve supply of the lower urinary tract was studied in 25 primary adult enuretics by full urodynamic assessment and neurophysiological measurements. The latter consisted of the measurement of static EMG, sensory thresholds and sacral reflex latencies (SRL). All patients were normal on clinical neurological examination. All neurophysiological measurements were within normal limits in only three patients and the remaining 22 had at least one abnormal response. The commonest abnormality was a high or even absent urethral sensory threshold. These defects in sensory and motor innervation correlated with the clinical dysfunction. It was concluded that this is a valuable method for the detection of nerve defects in the lower urinary tract, especially when the clinical neurological examination is normal.