Variable Findings of Urodynamic Study in Patients with Cerebrovascular Accident Diagnosed as Detrusor Hyperreflexia / 대한비뇨기과학회지

ABSTRACT

PURPOSE: We classified DH(detrusor hyperreflexia) into variable urodynamic findings as DHIC(detrusor hyperreflexia with impaired contractility), DHDP(detrusor hyperreflexia with dyssynergia pattern), and NCDDH(non-impaired contractility 50cmH2O, Qmax<12ml/s), and NICNDP-DH(n=28). RESULTS: Mean fraction of voided volume of DHIC(41.7+/-1.8%) and DHDP (38.3+/-2.2%) were significantly less than that of NCDDH (98.5+/-3.2%) according to the urodynamic study (p<0.01). Mean voiding pressure was 25.8+/-0.7cmH2O in DHIC, which was significantly less. However, 96.3+/-10.4cmH2O in DHDP was significantly more than that of NCDDH(p<0.01). Mean age was 83.8+/-1.2 years old in DHIC, which was significantly older than the mean age of the other groups(p=0.01). CONCLUSIONS: Variable findings of the urodynamic study were found in patients with DH as clinical parameters. Thus, we must treat the DH patients with individual therapy based on urodynamic findings.