Mix L W
Urology. 1977 Jul;10(1):1-9. doi: 10.1016/0090-4295(77)90027-9.
The occult neuropathic bladder is a condition of uncertain etiology about which confusion has arisen with regard to diagnosis and management. Incontinence and upper urinary tract deterioration are secondary to high intravesical pressure associated with urinary retention and functional outflow resistance. Diagnosis is a matter of exclusion, and the various methods of investigation are discussed. Development of continence and preservation of renal function may be achieved by improving bladder evacuation and preventing reflux. Diversion may be unavoidable but should be considered only when conservative methods have failed.
隐匿性神经源性膀胱是一种病因不明的病症，在诊断和管理方面存在混淆。尿失禁和上尿路恶化继发于与尿潴留及功能性流出阻力相关的膀胱内高压。诊断是一个排除性问题，并讨论了各种检查方法。通过改善膀胱排空和防止反流可实现控尿和肾功能的保留。改道可能不可避免，但仅应在保守方法失败时才考虑。
