CLINICAL STUDY OF THE BRAIN BLADDER
With Special Reference to the Correlation between the Side of Brain Lesions and the Disturbance of Micturition
1984 Volume 75 Issue 2 Pages 197-210
Details
1984 Volume 75 Issue 2 Pages 197-210
259 cases of brain bladder dut to various neurological diseases were studied with standard urological examinations and urodynamic methods. The side of brain lesions was decided chiefly on the findings of brain computed tomography, referring to neurological physical examinations and cerebral angiography. The correlation between the side of brain lesions and the disturbance of micturition was investigated and the following results were obtained.
1) The causative diseases of brain bladder were classified into five groups: group I, the cerebrovascular disease; group II, degenerative diseases; group III, brain tumors; group IV, psychogenic diseases; and group V, the others.
2) As for urinary symptoms, there were 135 cases (52%) of difficulty of urination, 106 cases (41%) of urinary incontinence and 92 cases (36%) of frequency. Besides these main symptoms, hematuria, residual sensation and others were found in 66 cases (25%).
3) It was statistically proved that there was correlation between left hemiplegia and difficulty of urination or frequency, and between right hemiplegia and urinary incontinence (p<0.5%).
4) The cases of left hemicerebral lesions accompanied mostly by urinary incontinence and showed hyperreflexia in the pattern of cystometrogram in groups I and III. On the other hand, most of right hemicerebral lesions revealed to have difficulty of urination and relatively high frequency of hyperreflexia in comparison with the pattern of areflexia or normal.
5) Various data about the rate of urinary tract infection or urodynamics including urethral pressure profile, uroflowmetry and sphincter-EMO were reported in the relationship between the side of brain lesions and the disturbance of micturition.
