Rist M
Z Kinderchir. 1987 Jun;42(3):167-70. doi: 10.1055/s-2008-1075576.
Functional voiding problems can be divided into three different groups: neurogenic dysfunction, myogenic dysfunction and true functional impairment of micturition in the sense of a psychosomatic disorder. Patients should be classified in the latter group only, if somatic disorders are excluded by conscientious urologic examination. Treatment of these patients is very time-consuming and difficult. Pure myogenic dysfunction occurs with rare generalised muscle disease only. Neurogenic dysfunction represents the majority of cases. Investigations in the Swiss Centre for Paraplegics and some new publications point out fundamental tendencies in the therapy and rehabilitation of neurogenic bladder dysfunction.
神经源性功能障碍、肌源性功能障碍以及心身疾病意义上的真性排尿功能损害。仅当通过认真的泌尿科检查排除躯体疾病后，患者才可归类于后一组。这些患者的治疗非常耗时且困难。单纯的肌源性功能障碍仅在罕见的全身性肌肉疾病中出现。神经源性功能障碍占大多数病例。瑞士截瘫研究中心的调查以及一些新的出版物指出了神经源性膀胱功能障碍治疗和康复的基本趋势。
