Video urodynamic findings in men with the central cord syndrome

Christopher P. Smith, Stephen R Kraus, Kevin G. Nickell, Timothy B. Boone

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Purpose: The central cord syndrome reportedly has a favorable prognosis and rehabilitation outcome. However, to our knowledge the status of the lower urinary tract in patients with the central cord syndrome is unclear. We report on 22 men with the central cord syndrome who were evaluated by video urodynamics. Materials and Methods: From 1986 to the present we identified 22 men with a mean age of 51 years who had the central cord syndrome and were included in the Houston Veterans Affairs spinal cord registry. All patients underwent video urodynamic evaluation a mean of 34.5 months after injury. Results: Video urodynamic testing for vesicourethral dysfunction was normal in 3 patients, while it showed bladder outlet obstruction secondary to benign prostatic hyperplasia in 2, detrusor areflexia in 4, external detrusor-sphincter dyssynergia in 11, detrusor hyperreflexia with a synergistic external urethral sphincter in 1 and detrusor hypocontractility in 1. Urinary tract infection recurred in 3 patients with external detrusor-sphincter dyssynergia and urolithiasis developed in 2. Conclusions: Urodynamic testing revealed a high incidence of external detrusor-sphincter dyssynergia in men with the central cord syndrome. Due to the potential for upper tract deterioration all patients with the central cord syndrome should undergo baseline urodynamic studies. Those at high risk for upper tract deterioration with external detrusor-sphincter dyssynergia or a loss of compliance should be treated more aggressively with clean intermittent catheterization and anticholinergic medication when possible.

Original languageEnglish (US)
Pages (from-to)2014-2017
Number of pages4
JournalJournal of Urology
Volume164
Issue number6
StatePublished - 2000
Externally publishedYes

Fingerprint

Central Cord Syndrome
Urodynamics
Ataxia
Intermittent Urethral Catheterization
Urinary Bladder Neck Obstruction
Abnormal Reflexes
Urolithiasis
Prostatic Hyperplasia
Cholinergic Antagonists
Veterans
Urethra
Urinary Tract
Urinary Tract Infections
Compliance
Registries
Spinal Cord
Incidence
Wounds and Injuries

Keywords

  • Central cord syndrome
  • Spinal cord injuries
  • Urinary tract
  • Urodynamics

ASJC Scopus subject areas

  • Urology

Cite this

Smith, C. P., Kraus, S. R., Nickell, K. G., & Boone, T. B. (2000). Video urodynamic findings in men with the central cord syndrome. Journal of Urology, 164(6), 2014-2017.

Video urodynamic findings in men with the central cord syndrome. / Smith, Christopher P.; Kraus, Stephen R; Nickell, Kevin G.; Boone, Timothy B.

In: Journal of Urology, Vol. 164, No. 6, 2000, p. 2014-2017.

Research output: Contribution to journalArticle

Smith, CP, Kraus, SR, Nickell, KG & Boone, TB 2000, 'Video urodynamic findings in men with the central cord syndrome', Journal of Urology, vol. 164, no. 6, pp. 2014-2017.
Smith, Christopher P. ; Kraus, Stephen R ; Nickell, Kevin G. ; Boone, Timothy B. / Video urodynamic findings in men with the central cord syndrome. In: Journal of Urology. 2000 ; Vol. 164, No. 6. pp. 2014-2017.
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