Fall M, Geirsson G
Department of Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
World J Urol. 1996;14 Suppl 1:S51-4. doi: 10.1007/BF00182066.
The urinary bladder is equipped with a reflex system including cold receptors of the bladder wall and having reflex pathways partly separate from the normal micturition reflex. The ice-water test involves cooling of the bladder wall with ice-cold saline solution. In the neurologically intact adult the test is negative. A positive test indicates overt or occult neuropathy. In this report, examples are given of patients presenting with bladder symptoms and a positive test but initially lacking signs of a neurological condition. During follow-up, various neurogenic diseases appeared. It is suggested that a positive ice-water test may represent a negative prognostic urodynamic sign along with a potential risk for neurogenic disease to come.
膀胱配备有一个反射系统，该系统包括膀胱壁的冷感受器，其反射通路部分独立于正常的排尿反射。冰水试验是用冰冷的盐溶液冷却膀胱壁。在神经功能正常的成年人中，该试验为阴性。阳性试验表明存在明显或隐匿性神经病变。在本报告中，列举了一些有膀胱症状且试验阳性但最初无神经疾病体征的患者实例。在随访过程中，出现了各种神经源性疾病。有人提出，冰水试验阳性可能代表一种不良的尿动力学预后征象，同时存在发生神经源性疾病的潜在风险。
