Urodynamic evaluation of surgical outcome in patients with urinary retention due to central lumbar disc prolapse

Yamanishi, Tomonori; Yasuda, Kosaku; Yuki, Takao; Sakakibara, Ryuji; Uchiyama, Tomoyuki; Kamai, Takao; Tsujii, Toshihiko; Yoshida, Keisuke

doi:10.1002/nau.10117

Cited by 19 publications

(10 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Bladder overactivity has also been noted in GBS patients in our previous study 6 as well as in patients with other types of peripheral neuropathy 15 or with cauda equina lesions. 37 In addition, some of our GBS patients, particularly those with AMAN, 10,11 exhibited increased tendon reflexes. Therefore, another mechanism is postulated for the urinary dysfunction in our patients: (1) generation of abnormal (spontaneous) depolarizations in demyelinated nerve fibers, 15 (2) immune attack of the inhibitory spinal cord interneurons, 9,10,38 both of which might cause lumbosacral autonomic hyperactivity.…”

Section: Discussionmentioning

confidence: 98%

Prevalence and mechanism of bladder dysfunction in Guillain–Barré Syndrome

Sakakibara

Uchiyama

Kuwabara

et al. 2009

Neurourology and Urodynamics

Self Cite

View full text Add to dashboard Cite

In our series of GBS cases, 27.7% of the patients had urinary dysfunction, including urinary retention in 9.2%. Underactive detrusor, overactive detrusor, and to a lesser extent, hyperactive sphincter are the major urodynamic abnormalities. The underlying mechanisms of urinary dysfunction appear to involve both hypo- and hyperactive lumbosacral nerves. Neurourol. Urodynam. 28:432-437, 2009. (c) 2009 Wiley-Liss, Inc.

show abstract

Section: Discussionmentioning

confidence: 98%

Prevalence and mechanism of bladder dysfunction in Guillain–Barré Syndrome

Sakakibara

Uchiyama

Kuwabara

et al. 2009

Neurourology and Urodynamics

Self Cite

View full text Add to dashboard Cite

show abstract

“…Urinary urgency and detrusor overactivity have been reported in some patients with cauda equina or pelvic plexus lesions [19,26], which may be a reflection super sensitivity and ephaptic transmission. However, we only found mild detrusor overactivity, which implies that intrinsic sphincter deficiencies were also involved.…”

Section: Discussionmentioning

confidence: 98%

Urinary dysfunction and autonomic control in amyloid neuropathy

et al. 2006

Self Cite

View full text Add to dashboard Cite

Uro-neurological assessment was performed in four patients with small-fiber neuropathy due to amyloidosis (2 transthyretin-type/2 immunoglobulin light-chain-type). Voiding difficulties were due to detrusor weakness and impaired bladder sensation. In two patients cholinesterase inhibition treatment caused urge incontinence, indicating detrusor denervation supersensitivity. The underlying mechanisms of urinary dysfunction seem to involve postganglionic cholinergic and afferent somatic nerves.

show abstract

“…Only 27 articles met our inclusion criteria of reporting cases of CES that had progressed to a paralyzed, insensate bladder, thus distinguishing CESR from CESI patients, of defining the interval between the development of bladder paralysis and surgery, and of adequately describing postoperative urinary function. 7,18,22,26,30,58,60,63,67,73,74,82,87,88,90,93,94,120,122,134,141,152,157,168,170,176,177 Raw Data and Zero Cells. The raw data from these 27 studies are presented in the Appendix to this article, along with the probability values for the individual studies.…”

Section: Data Collection and Definition Of Variablesmentioning

confidence: 99%

“…Nineteen studies reported only on CESR patients. 18,26,58,60,63,74,82,87,88,90,94,120,122,134,141,152,157,176,177 Eight reported on both CESR and CESI patients. 7,22,30,67,73,93,168,170 Timing of Surgery.…”

Section: Data Collection and Definition Of Variablesmentioning

confidence: 99%

Timing of surgery in cauda equina syndrome with urinary retention: meta-analysis of observational studies

DeLong

Polissar²,

Neradilek³

2008

SPI

121

View full text Add to dashboard Cite

Object The authors performed exploratory meta-analyses of observational cohort studies, evidence level III, examining whether earlier surgery makes a difference in outcome in terms of urinary function once cauda equina syndrome (CES) from a herniated lumbar disc has progressed to urinary retention (CESR). Methods Literature search identified 27 studies of CESR patients with clear definition of surgical timing. Relative risk (RR) could not be calculated in 11 studies, leaving 16 for meta-analysis. Urinary retention related to surgical timing at 5 breakpoints: 12, 24, 36, 48, or 72 hours. Urinary outcome was classified as Normal, Fair, or Poor. Meta-analysis was performed for “Event = Fair/Poor” or “Event = Poor.” Eight studies allowed separation into CESR and incomplete CES (CESI), and 5 of these had enough data for meta-analysis to compare CESR and CESI. A random effects meta-analysis model was used because of heterogeneity across the studies. A best-evidence synthesis was performed for the 4 largest studies that had 24- and 48-hour breakpoints. Results For “Event = Fair/Poor,” meta-analyses using the 5 breakpoints predicted a more likely Fair/Poor outcome for later surgery (RR range 1.77–2.19). The RR for later timing of surgery was statistically significant for 24-and 72-hour breakpoints and was elevated but not statistically significant for the other 3. For “Event = Poor,” the RR range was 1.09–5.82, statistically significant for the 36 hour breakpoint only. Meta-analysis comparing CESR patients with CESI patients predicted a Fair/Poor result for CESR (RR 2.58, 95% confidence interval 0.59–11.31). The best-evidence synthesis did not disclose reasons for differences in the results of the 4 studies. Conclusions This study supports early surgery for CES and indicates that CESR and CESI cases should not be analyzed together.

show abstract

Urodynamic evaluation of surgical outcome in patients with urinary retention due to central lumbar disc prolapse

Cited by 19 publications

References 47 publications

Prevalence and mechanism of bladder dysfunction in Guillain–Barré Syndrome

Prevalence and mechanism of bladder dysfunction in Guillain–Barré Syndrome

Urinary dysfunction and autonomic control in amyloid neuropathy

Timing of surgery in cauda equina syndrome with urinary retention: meta-analysis of observational studies

Contact Info

Product

Resources

About