Abstract
It is well recognized that people, especially those with detrusor overactivity, will note an increase in urinary urgency and frequency when exposed to cold. Studies in felines have demonstrated specific cold receptors in the bladder which when stimulated with low volumes of an iced solution will trigger an immediate bladder emptying reflex. This reflex occurs at bladder volumes and pressure thresholds well below those of tension receptors in the bladder suggesting an afferent limb different from that associated with the micturition reflex and detrusor overactivity. Bors originally described the classical ice water test in 1956 to distinguish between parasympathetic upper motor neuron lesions and lower motor neuron lesions. Instillation of 100 ml of sterile ice water through an 18F catheter led to rapid expulsion of the catheter and/or fluid within 10 s in patients with suprasacral lesions but was negative in those with sacral or peripheral lesions.
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Bibliography
Bors E: Neurogenic bladder. Urol Surv 7:177,1957. Bors E, Ma KT, Parker RB: Observations on some modalities of bladder sensation. J Urol 76: 566, 1956.
Fall M, Lindstrom S, Mazieres L: Experimental aspects on the bladder cooling reflex. Neurourol Urodynam 6: 228, 1987.
Hellstrom PA, Tammela TLJ: The bladder cooling test. Int Urogynecol J 4: 116, 1993.
Hellstrom PA, Tammela TLJ, Kontturi MJ et al: The bladder cooling test for urodynamic assessment: analysis of 400 examinations. Br J Urol 67: 275, 1991.
Lindstrom S, Mazieres L, Fall M: The bladder cooling reflex: characterization of afferent mechanisms. Neurourol Urodynam 7: 248, 1988.
Raz S: Objective assessment of bladder response in ice water test. J Urol 109: 603, 1973.
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© 1995 Springer-Verlag London Limited
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Sand, P.K., Ostergard, D.R. (1995). The Bladder Cooling Test. In: Urodynamics and the Evaluation of Female Incontinence. Springer, London. https://doi.org/10.1007/978-1-4471-2109-1_37
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DOI: https://doi.org/10.1007/978-1-4471-2109-1_37
Publisher Name: Springer, London
Print ISBN: 978-3-540-19904-5
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