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KMID : 0377220010260020099
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Medical Journal of Chosun Univercity
2001 Volume.26 No. 2 p.99 ~ p.104
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Urodynamic Investigation in Neurogenic Bladder
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Roh Joon
Chun Sang-Jun
Chung Chee-Young
Lee Ki-Bong
Lee Gil-Yong
So Young-Seog
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Abstract
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Background and objectives : A disparity between clinical and urodynamic findings is commonly found and its application to the clinical management of neurogenic bladder is pratically as well embrassing as it reading. We investigated urodynamic study for the diagnosis and management of neurogenic bladder.
Materials and methods : From July 1997 to June 2001, total of 83 patients of neurogenic bladder were evaluated by urodynamic study.
Results : urodynamically, there were 20 cases(24%) showing detrusor hyperreflexia with detrusor external sphincter dyssynergia(DESD), 12 cases(15%) detrusor areflexia with low compliance. A disparity between the clinical and urodynamic assessment was noted in 26 cases(31%), clinically severe symptom with complication was particularily common in detrusor hyperreflexia with DESD, detrusor areflexia with low compliance and catheter indwelling patients.
Conclusion : In neurogenic bladder, clinically symptom with complication was particularly common in detrusor hyperreflexia with DESD, detrusor areflexia with low compliance and catheter indwelling patients.
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KEYWORD
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Neurogenic bladder, urodynamic study
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