Naslov
The role of videourodynamic study in patients with neurological disorders: a case report

Autori
Karl, Dora ; Marušić, Romana ; Jurić, Petra ; Radoja Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo

Izvornik
Knjiga sažetaka, Student Congress of Neuroscience – NeuRi / - Rijeka, 2021, 108-109

Skup
12th Student Congress of Neuroscience

Mjesto i datum
Rijeka, Hrvatska, 21.04.2021. - 23.04.2021

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Arnold-Chiari Malformation ; Intermittent Urethral Catheterization ; Overactive Urinary Bladder ; Underactive Urinary Bladder ; Urodynamics

Sažetak
Introduction: Lower urinary tract symptoms (LUTS) have high prevalence in patients with neurological disorders such as congenital brain and spinal cord abnormalities. They are often unrecognized and underreported, especially chronic urinary retention. Videourodynamic study (VUDS) is the most important diagnostic method in the evaluation of LUTS in these patients. Case report: We present a 24-year-old female patient with history of myelomeningocele a and Arnold-Chiari malformation (ACM) surgery who was admitted to our department of urology for VUDS due to underactive bladder syndrome (UAB) and suspicion of vesicoureteral reflux (VUR). After birth she underwent surgery for myelomeningocele of the sacral region and hydrocephalus with ventriculoperitoneal shunt insertion. She is immobile and has been performing intermittent urethral catheterization (IUC) since she was five years old because of the symptoms of the UAB. At the age of 15 years she underwent decompression surgery because of ACM. She has been taking mirabegron for a year because of the symptoms of the overactive bladder syndrome (OAB). We performed VUDS according to the International Continence Society standards. There was no dilatation of the upper urinary tract on the ultrasound. Uroflowmetry showed reduced flow rates (<1 ml/s). Cystometry showed reduced bladder compliance (22 ml/cmH2O), reduced cystometric capacity (240 ml) and no signs of detrusor overactivity. There was no flow or detrusor contractions during the pressure flow study. During the cystometry and pressure flow study the bladder imaging showed no bladder wall trabeculation or diverticulum, no detrusor contractions, and no signs of passive or active VUR. The patient was discharged from our department with recommendation to continue IUC 6 times a day with mirabegron therapy. Conclusion: Patients with neurological disorders and combination of UAB and OAB symptoms are at long-term risk of secondary upper urinary tract damage. Follow-up VUDS should be considered in these patients to prevent complications.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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