Abstract
We reviewed the long term follow up of five spinal cord injury patients with detrusor areflexia who emptied their bladder using high abdominal pressure. Ages ranged from 29 to 58 years, and the mean time elapsed from injury was 18.9 years. The bladder pressure during voiding ranged from 95 to 160 cm of water. One patient developed vesicoureteral reflux and hydronephrosis. Long term monitoring is suggested in patients who use high abdominal pressure for bladder emptying.
Similar content being viewed by others
Article PDF
References
Light J K, Faganel J, Beric A (1985) Detrusor areflexia in suprasacral spinal cord injuries. J Urol 134: 295–297.
Barbalias G A, Klauber G T, Blaivas J G (1983) Critical evaluation of the Crede maneuver: a urodynamic study of 207 patients. J Urol 130: 720–723.
Opitz J L (1984) Treatment of voiding dysfunction in spinal cord injured patients: bladder retraining. In: Barrett DM, Wein AJ, editors. Controversies in Neuro- Urology. Churchill Livingstone, New York: 437.
Woodside J R, McGuire E J (1979) Urethral hypotonicity after suprasacral spinal cord injury. J Urol 121: 783–785.
Redman F J (1976) Crede expression of the bladder: a sometimes useful maneuver. J Urol 116: 794–795.
McGuire E J, Woodside J R, Borden T A, Weiss R M (1981) Prognostic value of urodynamic testing in myelodysplastic patients. J Urol 126: 205–209.
Hackler R H, Hall M K, Zampieri T A (1989) Bladder hypocompliance in the spinal cord injury population. J Urol 141: 1390–1393.
Madersbacher H (1990) The various types of neurogenic bladder dysfunction: an update of current therapeutic concepts. Paraplegia 28: 217–229.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Greenstein, A., Rucker, K. & Katz, P. Voiding by increased abdominal pressure in male spinal cord injury patients – long term follow up. Spinal Cord 30, 253–255 (1992). https://doi.org/10.1038/sc.1992.64
Issue Date:
DOI: https://doi.org/10.1038/sc.1992.64