Investigation into the Nature of Non-Voiding Contractions Resulting from Detrusor Hyperreflexia in Neurogenic Bladders Following Spinal Cord Injury.

摘要

The purpose of this project is to determine the cause behind non-voiding contractions (NVC) of the bladder seen with filling following suprasacral spinal cord injury (SCI). The most significant findings over the course of the past year have been that NVC in chronic SCI are accompanied by intra-abdominal pressure increases resulting from abdominal wall contraction. The temporal relationship appears to be that of either the abdominal pressure rise beginning just prior to, or simultaneously with, the bladder pressure rise, These results, therefore, strongly suggesting that these abdominal wall-mediated abdominal pressure rises either cause NVC, or arise from the same mass reflex event as the NVC.