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Rehabilitation Practice and Science

Translated Title

彈性不良膀胱的臨床意義及危險因子

Abstract

To determine the prevalence of low compliance bladder and its effects on the upper urinary tract, 431 persons with neurogenic bladder have been evaluated over the past 3 years. Among them, 34 persons (7.9%) had low compliance bladder. Thirty-two persons who had lower motor neuron type neurogenic bladder served as controls. Bladder capacity (280 ml vs. 420 ml; P ＜ 0.05) and creatinine clearance rate (53 ml/min vs. 83 ml/min; P ＜ 0.05) of the low compliance bladder group were significantly lower than those of controls. The chance of urinary tract infection was greater and the post-injury duration was longer in the low compliance group, in spite that there was no statistical difference between them. In contrast to the previous studies, the incidence of high cord injury individuals with low compliance bladder was higher than expected. Eight patients (32% of group 1) with low compliance bladder had upper urinary tract changes, while none of lower motor neuron group did (P＜0.05). The ice water test could not predict the detrusor response in the low compliance bladder group (false positive rate: 73%) as in the regular patients with neurogenic bladder.We concluded that all measures should be tried to avoid the occurrence of low compliance bladder and ice water test seemed to be not appropriate for prediction of the detrusor reflex in patients with low compliance bladder.

Language

English

First Page

41

Last Page

49

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