Skip to main content
Book cover

Neurourology pp 169–176Cite as

Urodynamic Findings of Neurogenic Bladder

  • Chapter
  • First Online:

Abstract

Urodynamics (UDS) is the term used to describe testing and measurements of the function of the lower urinary tract and is the only method that can objectively assess dysfunction during bladder filling, storage, and emptying. UDS is a crucial component of the urologic evaluation of patients with neurogenic lower urinary tract dysfunction (NLUTD). The Madersbacher classification system describes several NLUTD symptoms on the basis of the contraction state of the bladder and external urethral sphincter during the voiding and filling phases of UDS. The evaluation of a patient with neurogenic bladder dysfunction with UDS/VUDS provides a powerful tool in the identification of the type of lower urinary tract dysfunction which can help to direct further management.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Winters JC, Dmochowski RR, Goldman HB, Herndon CD, Kobashi KC, Kraus SR, et al. Urodynamic studies in adults: AUA/SUFU guideline. J Urol. 2012;188:2464–72.

    Article  PubMed  Google Scholar 

  2. Blok B, Pannek J, Castro-Diaz D, Del Popolo G, Groen J, Hamid R, et al. EAU guidelines on neuro-urology. 2017. http://uroweb.org/guideline/neuro-urology/. Accessed 26 May 2017.

  3. Biering-Sorensen F, Craggs M, Kennelly M, Schick E, Wyndaele JJ. International urodynamic basic spinal cord injury data set. Spinal Cord. 2008;48:513–6.

    Article  Google Scholar 

  4. Madersbacher H. The various types of neurogenic bladder dysfunction: an update of current therapeutic concepts. Paraplegia. 1990;28:217–29.

    CAS  PubMed  Google Scholar 

  5. Wein AJ, Dmochowski RR. Neuromuscular dysfunction of the lower urinary tract. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, editors. Campbell-walsh urology. 11th ed. Philadelphia, PA: Elsevier; 2016. p. 1761–95.

    Google Scholar 

  6. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol. 2002;187:116–26.

    Article  PubMed  Google Scholar 

  7. Kuei CH, Liao CH, Kuo HC. Urodynamic characteristics of lower urinary tract dysfunction in patients with Parkinson’s disease. Urol Sci. 2010;23:120–3.

    Article  Google Scholar 

  8. Nitti VW, Brucker BM. Urodynamic and video-urodynamic evaluation of the lower urinary tract. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, editors. Campbell-walsh urology. 11th ed. Philadelphia: Elsevier; 2016. p. 1718–42.

    Google Scholar 

  9. Thomas DG, O'Flynn KJ. Spinal cord injury. In: Mundy AR, Stephenson T, Wein AJ, editors. Urodynamics: principles, practice, and application. London: Churchill Livingstone; 1994. p. 345–58.

    Google Scholar 

  10. Bacsu CD, Chan L, Tse V. Diagnosing detrusor sphincter dyssynergia in the neurological patient. BJU Int. 2012;109:31–4.

    Article  PubMed  Google Scholar 

  11. McGuire EJ, Savastano J. Comparative urological outcome in women with spinal cord injury. J Urol. 1986;135:730–1.

    Article  CAS  PubMed  Google Scholar 

  12. Kurzrock EA, Polse S. Renal deterioration in myelodysplastic children: urodynamic evaluation and clinical correlates. J Urol. 1998;159:1657–61.

    Article  CAS  PubMed  Google Scholar 

  13. Tanaka H, Kakizaki H, Kobayashi S, Shibata T, Ameda K, Koyanagi T. The relevance of urethral resistance in children with myelodysplasia: its impact on upper urinary tract deterioration and the outcome of conservative management. J Urol. 1999;161:929–32.

    Article  CAS  PubMed  Google Scholar 

  14. Allio BA, Peterson AC. Urodynamic and physiologic patterns associated with the common causes of neurogenic bladder in adults. Transl Androl Urol. 2016;5:31–8.

    PubMed  PubMed Central  Google Scholar 

  15. Barbalat Y, Rutman M. Detrusor-external sphincter dyssynergia: review of minimally invasive and endoscopic management. Urology. 2016;90:3–7.

    Article  PubMed  Google Scholar 

  16. Schurch B, Yasuda K, Rossier AB. Detrusor bladder neck dyssynergia revisited. J Urol. 1994;152:2066–70.

    Article  CAS  PubMed  Google Scholar 

  17. Blaivas JG, Chalkin DC, Chancellor MB. Pathophysiology of the neurogenic bladder. Continuum Lifelong Learn Neurol. 1998;4:21–7.

    Google Scholar 

  18. Fam B, Yalla SV. Vesicourethral dysfunction in spinal cord injury and its management. Semin Neurol. 1988;8:150–5.

    Article  CAS  PubMed  Google Scholar 

  19. de Groat WC, Kruse MN, Vizzard MA, Cheng CL, Araki I, Yoshimura N. Modification of urinary bladder function after spinal cord injury. Adv Neurol. 1997;72:347–64.

    PubMed  Google Scholar 

  20. Kim DK, Chancellor MB. Pathophysiology of detrusor underactivity/acontractile detrusor. In: Corcos J, Ginsberg D, Karsenty G, editors. Textbook of the neurogenic bladder, adults and children. Boca Raton, FL: CRC Press; 2016.

    Google Scholar 

  21. McGuire EJ, Cespedes RD, O'Connell HE. Leak-point pressures. Urol Clin North Am. 1996;23:253–62.

    Article  CAS  PubMed  Google Scholar 

  22. De Wachter SG, Heeringa R, van Koeveringe GA, Gillespie JI. On the nature of bladder sensation: the concept of sensory modulation. Neurourol Urodyn. 2011;30:1220–6.

    PubMed  Google Scholar 

  23. Rosier PF, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, et al. International Continence Society Good Urodynamic Practices and Terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2016;36:1243–60.

    Article  PubMed  Google Scholar 

  24. Yamaguchi O, Honda K, Nomiya M, Shishido K, Kakizaki H, Tanaka H, et al. Defining overactive bladder as hypersensitivity. Neurourol Urodyn. 2007;26:904–7.

    Article  PubMed  Google Scholar 

  25. Griffiths D. Imaging bladder sensations. Neurourol Urodyn. 2007;26:899–903.

    Article  PubMed  Google Scholar 

  26. Brucker BM, Kelly CE, Nitti VW. Evaluation of neurogenic lower urinary tract dysfunction: Basic urodynamics. In: Corcos J, Ginsberg D, Karsenty G, editors. Textbook of the neurogenic bladder. Boca Raton, FL: CRC Press, Taylor & Francis Group; 2016. p. 373–81.

    Google Scholar 

  27. Mahdy A, Ghoniem GM. Role of urodynamics in the evaluation of elderly voiding dysfunction. Curr Bladder Dysfunct Rep. 2014;9:350–63.

    Article  Google Scholar 

  28. Ozkan B, Demirkesen O, Durak H, Uygun N, Ismailoglu V, Cetinel B. Which factors predict upper urinary tract deterioration in overactive neurogenic bladder dysfunction? Urology. 2005;66:99–104.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roger R. Dmochowski .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature B.V.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hartigan, S.M. et al. (2019). Urodynamic Findings of Neurogenic Bladder. In: Liao, L., Madersbacher, H. (eds) Neurourology. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7509-0_18

Download citation

  • DOI: https://doi.org/10.1007/978-94-017-7509-0_18

  • Published:

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-017-7507-6

  • Online ISBN: 978-94-017-7509-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics