Video-urodynamic Characteristics of Neurogenic Bladder by Suprapontine Neuropathy

Objective To explore the video-urodynamic characteristics of neurogenic bladder caused by suprapontine neuropathy.Methods 65 patients with neurogenic bladder caused by suprapontine neuropathy were involved from February 2004 to May 2009.The data were analyzed retrospectively,including clinical manifestation,diagnosis,voiding management,ultrasound,uroflow,post void residual,filling cystometry,pressure-flow study and the radiology.The results were compared with those of the suprasacral spinal cord injury.Results No significant difference was found in the urodynamic parameters between various kinds of suprapontine neuropathy.Compared with suprasacral spinal cord injury,suprapontine neuropathy had less detrusor-sphincter dyssynergia,less reflux and upper urinary tract dilation but more normal micturiton reflex.Conclusion The main video-urodynamic characteristic of neurogenic bladder caused by suprapontine neuropathy is detrusor overactivity,and the detrusor-sphincter dyssynergia,reflux and upper urinary tract dilation are rare.