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Outcome of the blad...
Outcome of the bladder cooling test in children with neurogenic bladder dysfunction
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- Gladh, Gunilla, 1943- (author)
- Linköpings universitet,Pediatrik,Hälsouniversitetet
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- Lindström, Sivert, 1942- (author)
- Linköpings universitet,Institutionen för biomedicin och kirurgi,Hälsouniversitetet
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(creator_code:org_t)
- 1999
- 1999
- English.
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In: Journal of Urology. - 0022-5347 .- 1527-3792. ; 161:1, s. 254-258
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- PurposeWe evaluated the diagnostic use of the bladder cooling test in children with neurogenic bladder dysfunction.Materials and MethodsWe performed 201 bladder cooling tests in 65 female and 43 male patients 5 days to 17 years old, including 70 with myelomeningocele, 12 with high spinal lesions, 9 with sacral spinal lesions and 17 with encephalopathy of various types. At the end of routine cystometry we rapidly infused body temperature saline to approximately a third of cystometric capacity, followed by the same volume of saline at 4 to 8C. The test was considered positive when a detrusor contraction greater than 30 cm. water was evoked by the cold but not the warm infusion.ResultsThe bladder cooling test was positive in 37 children younger than 4 years, at which age it is normally positive. The test was negative in only 2 patients, indicating a complete lower motor neuron lesion. It was positive in 34 of the 57 children older than 6 years, at which age it should be negative. Thus, the positive bladder cooling test confirmed neurogenic bladder dysfunction. Four of the 20 children with a negative test voided normally, while the remainder had no voiding contractions, suggesting a nonfunctional spinal sacral reflex arch to the bladder.ConclusionsThe bladder cooling test is a simple, reliable assessment that may serve to demonstrate a functional sacral reflex arch in young patients without voiding contractions or confirm a suspected lower motor neuron lesion. It may be used longitudinally to demonstrate changes in bladder function with growth.
Keyword
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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