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NEUROGENIC URINARY TRUCT DYSFUNCTION IN PATIENTS WITH SPONDYLITIS

Abstract

Inflammation damage of vertebral column (spondylitis) often leads to neurologic disturbances. There are no accurate data on epidemiology of neurogenic lower urinary tract dysfunction (NLUTD) in these patients.
Objective. To evaluate urodynamic disturbances in spondylitis.
Materials and methods. 23 patients with spondylitis and symptoms of micturition’s impairment underwent complex urodynamic investigation. Neurologic status was assessed according to the ASIA impairment scale.
Results. All patients were diagnosed with urodynamic dysfunction. There were no correlation between urodynamic pattern and ASIA grade.
Conclusion. Patients with spondylitis have variable lower urinary tract dysfunction. In our study approximately a half of patients had detrusor hyporeflexia. Detrusor overactivity in combination with detrusor-sphincter dyssinergya was diagnosed only in 13,1%.

About the Authors

A. I. Gorbunov
ФГБУ «Санкт-Петербургский НИИ фтизиопульмонологии» Минздрава России
Russian Federation


A. A. Lebedev
ФГБУ «Санкт-Петербургский НИИ фтизиопульмонологии» Минздрава России
Russian Federation


A. N. Muraviev
ФГБУ «Санкт-Петербургский НИИ фтизиопульмонологии» Минздрава России
Russian Federation


P. K. Yablonskii
ФГБУ «Санкт-Петербургский НИИ фтизиопульмонологии» Минздрава России; ФГБОУ ВО «Санкт-Петербургский государственный университет»
Russian Federation


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Review

For citations:


Gorbunov A.I., Lebedev A.A., Muraviev A.N., Yablonskii P.K. NEUROGENIC URINARY TRUCT DYSFUNCTION IN PATIENTS WITH SPONDYLITIS. Tuberculosis and socially significant diseases. 2017;(4):45-48. (In Russ.)

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ISSN 2413-0346 (Print)
ISSN 2413-0354 (Online)