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Prevalence of Unfavorable Video-Urodynamic Findings and Clinical Implications in Patients with Minimally Conscious State/Unresponsive Wakefulness Syndrome: A Retrospective Descriptive Analysis.
Leboutte, Francois; Engesser, Christian; Zahiti, Leutrim; Rentsch, Cyrill A; Seifert, Helge; Anding, Ralf; Hund-Georgiadis, Margret; Möhr, Sandra; Walter, Matthias.
Afiliación
  • Leboutte F; Department of Urology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.
  • Engesser C; Department of Urology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.
  • Zahiti L; Department of Urology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.
  • Rentsch CA; Department of Urology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.
  • Seifert H; Department of Urology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.
  • Anding R; Department of Urology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.
  • Hund-Georgiadis M; Clinic of Neurorehabilitation and Paraplegiology, REHAB Basel, 4055 Basel, Switzerland.
  • Möhr S; Neuro-Urology, REHAB Basel, 4055 Basel, Switzerland.
  • Walter M; Department of Urology, University Hospital Basel, University of Basel, 4031 Basel, Switzerland.
Biomedicines ; 11(9)2023 Aug 31.
Article en En | MEDLINE | ID: mdl-37760873
The aim of this retrospective exploratory study was to investigate the prevalence of unfavorable findings during video-urodynamic studies (VUDS) in patients with minimally conscious state (MCS)/unresponsive wakefulness syndrome (UWS) and whether management of the lower urinary tract (LUT) was adjusted accordingly. A retrospective chart review was conducted to screen for patients diagnosed with MCS/UWS at our rehabilitation center between 2011 and 2020. Patients 18 years or older were included and underwent baseline VUDS after being diagnosed with MCS/UWS. We analyzed urodynamic parameters and subsequent changes in LUT management in this cohort. In total, 32 patients (7 females, 25 males, median age 37 years) with MCS/UWS were included for analysis. While at least one unfavorable VUDS finding (i.e., neurogenic detrusor overactivity [NDO], detrusor sphincter dyssynergia {DSD, high maximum detrusor pressure during storage phase [>40 cmH2O], low-compliance bladder [<20 mL/cmH2O], and vesico-uretero-renal reflux [VUR]) was found in each patient, NDO (78.1%, 25/32) and DSD (68.8%, 22/32) were the two most frequent unfavorable VUDS findings. Following baseline VUDS, new LUT treatment options were established in 56.3% (18/32) of all patients. In addition, bladder-emptying methods were changed in 46.9% (15/32) of all patients, resulting in fewer patients relying on indwelling catheters. Our retrospective exploratory study revealed a high prevalence of NDO and DSD in patients with MCS/UWS, illustrating the importance of VUDS to adapt LUT management in this cohort accordingly.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prevalence_studies / Risk_factors_studies Idioma: En Revista: Biomedicines Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Diagnostic_studies / Prevalence_studies / Risk_factors_studies Idioma: En Revista: Biomedicines Año: 2023 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Suiza