1983 Volume 74 Issue 10 Pages 1844-1850
From urological follow-up studies of eleven patients with Shy-Drager syndrome, we found that the adequate micturitional management was essential for the proper care of the patients because of steadily deterioraton of their voiding function. Since there is always the risk of urinary retention, every patient should be trained for intermittent selfcatheterisation.
Alpha-blockers were effective in reducing the residual urine but bethanechol chloride was ineffective.
Propantheline and diazepam were fairly effective for urge incontinence. However, overall drug therapy was useful only in the early stage of the disease.
Transurethral resection of the bladder neck was done in the patients and was found to be effective even in the advanced stage of the disease.
Our conclusion for the management of urinary diturbance in Shy-Drager syndrome is initial training of intermittent selfcatheterisation, to be followed by drug therapy and transurethral resection of the bladder neck.
