Ice Water Urodynamic Study in Neurogenic Bladder of Spinal Cord Injured Patients
Journal of the Korean Academy of Rehabilitation Medicine
; : 439-445, 2000.
Article
en Ko
| WPRIM
| ID: wpr-723771
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE: To determine the clinical utility of ice water test for the urodynamic study in neurogenic bladder of spinal cord injured patients. METHOD: Warm water (20~30oC) urodynamic studies were performed on 66 spinal cord injured patients. Subsequently, ice water (4~8oC) urodynamic studies were performed. We determined the ice water test to be positive if the reflex volume of ice water urodynamic study is lower than the volume of the warm water urodynamic study. RESULTS: Ice water test was positive in 24 (55.8%) and negative in 19 (44.2%) of the 43 patients showing hyperreflexic detrusor activity in warm water urodynamic study. Ice water test was negative in all 23 cases showing areflexic detrusor activity. No significant difference was found between positive and negative ice water test groups for the level of injury, sex, age, extent of injury and duration since injury. If water was cool enough, positivity of ice water test was not affected by infusion rate. There was no difference between the two urodynamic studies of maximal bladder pressure and compliance. CONCLUSION: This study suggests that ice water urodynamic study is a useful method for the evaluation of hyperreflexic neurogenic bladder activated by cold specific receptors via C afferent fibers in spinal cord injured patients.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Reflejo
/
Médula Espinal
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Traumatismos de la Médula Espinal
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Urodinámica
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Vejiga Urinaria
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Vejiga Urinaria Neurogénica
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Agua
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Adaptabilidad
/
Hielo
Límite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Academy of Rehabilitation Medicine
Año:
2000
Tipo del documento:
Article