CC BY-NC-ND 4.0 · J Neurosci Rural Pract 2014; 05(S 01): S013-S016
DOI: 10.4103/0976-3147.145194
Original Article
Journal of Neurosciences in Rural Practice

Neurogenic bladder following myelopathies: Has it any correlation with neurological and functional recovery?

Nitin Menon
Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
,
Anupam Gupta
Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
,
Arun B. Taly
Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
,
Meeka Khanna
Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
,
Sushruth Nagesh Kumar
Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
› Author Affiliations
Further Information

Address for correspondence:

Dr. Anupam Gupta
Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences
Bangalore - 560 029, Karnataka
India   

Publication History

Publication Date:
26 September 2019 (online)

 

ABSTRACT

Objectives: To observe neurogenic bladder pattern in patients with myelopathy by performing urodynamic study (UDS) and to observe whether it has any correlation with functional and neurological recovery. Patients and Methods: This prospective study was conducted with 90 patients with myelopathy, both traumatic and non-traumatic (males = 65) in a university tertiary research hospital in India between January 2011 and December 2013. Mean age was 33.5 ± 13.2 years (range 15-65 years), mean duration of injury was 82.63 ± 88.3 days (range 14-365 days) and mean length of stay (LOS) in the rehabilitation unit 42.5 ± 23.3 days (range 14-130 days). The urodynamic study was performed in all the patients to assess the neurogenic bladder pattern. Management was based on the UDS findings. Functional recovery was assessed using Barthel index (BI) scores and spinal cord independence measures (SCIM) scores. Neurological recovery was assessed using ASIA impairment scale (AIS). We tried to correlate neurogenic bladder patterns with recovery. Results: Fifty patients (55.6%) had overactive detrusor with 25 each had detrusor sphincter dyssynergia (DSD) and synergic sphincter. Thirty-eight patients had hypoactive/acontractile detrusor and two had normal studies. No significant correlation observed between neurogenic bladder pattern and change in BI scores (P = 0.696), SCIM scores (P = 0.135) or change in ASIA status (P = 0.841) in the study. Conclusions: More than half of the patients with myelopathies had overactive detrusor with or without dyssynergic sphincter according to the urodynamic study. Neurogenic bladder patterns had no significant correlation with functional and neurological recovery in these patients.


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Conflicts of interest

None declared.


Address for correspondence:

Dr. Anupam Gupta
Department of Neurological Rehabilitation, National Institute of Mental Health and Neuro Sciences
Bangalore - 560 029, Karnataka
India