Berger Y, Blaivas J G, Oliver L
Division of Urology, University of Medicine & Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick.
J Urol. 1990 Jul;144(1):103-5. doi: 10.1016/s0022-5347(17)39381-3.
Six men and 2 women with a history of transverse myelitis and persistent lower urinary tract symptoms underwent neurourological evaluation. Of the patients, 4 were neurologically intact, while the remainder had residual neurological deficits. Urodynamic studies revealed detrusor-external sphincter dyssynergia in 6 patients. Two patients had detrusor hyperreflexia, of whom 1 also had an incompetent sphincter. Erectile or ejaculatory dysfunction was reported by 3 men. We conclude that prolonged bladder and sexual dysfunction, caused by spinal cord inflammatory insult, may persist despite a systemic neurological recovery. Therefore, bladder management guided by initial and followup urodynamics is recommended.
6名男性和2名女性有横贯性脊髓炎病史且存在持续性下尿路症状，接受了神经泌尿学评估。这些患者中，4人神经功能完好，其余患者有残留神经功能缺损。尿动力学研究显示6例患者存在逼尿肌-外括约肌协同失调。2例患者有逼尿肌反射亢进，其中1例同时存在括约肌功能不全。3名男性报告有勃起或射精功能障碍。我们得出结论，尽管全身神经功能有所恢复，但脊髓炎性损伤导致的膀胱和性功能障碍可能会持续存在。因此，建议根据初始及随访尿动力学检查结果进行膀胱管理。
