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Journal of the Korean Academy of Rehabilitation Medicine 2006;30(5):441-446.
Comparison between Natural Filling Cystometry and Conventional Retrograde Filling Cystometry in Patients with Stroke.
Yoon, Seung Hyun , Lee, Il Yung , Rah, Ueon Woo , Yim, Shin Young , Kim, Seung Hwan , Lee, Young Seop
Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Korea. yoonsh@ajou.ac.kr, shyhome@nate.com
뇌졸중 환자에서 자연충만 방광내압측정법과 기존 역행충만법의 비교
윤승현․이일영․나은우․임신영․김승환․이영섭
아주대학교 의과대학 재활의학교실
Abstract
Objective
To compare the personally developed natural filling cystometry (NFC) and conventional retrograde filling cystometry (RFC)
Method
NFC and RFC were performed on 15 patients with stroke.
Results
Patients were classified into three groups according to their usual lower urinary tract symptom. Four patients without urinary symptom did not show any detrusor overactivity or detrusor underactivity during NFC or RFC. Of the nine patients with urinary frequency or urgency, five (55.6%) showed detrusor overactivity during NFC and two (22.2%) during RFC. Two patients with straining showed .detrusor underactivity during both tests.
Conclusion
There was no significant difference of cystometric findings between NFC and RFC in case of patients without urinary symptom or with detrusor underactivity, but those patients with urinary symptom that is suspected of detrusor overactivity showed a more frequent detrusor overactivity during NFC than RFC. Therefore, NFC is thought to be a useful tool in evaluating the neurogenic bladder of stroke patients suspected of detrusor overactivity since it can detect detrusor overactivity which were less detectable in RFC. (J Korean Acad Rehab Med 2006; 30: 441-446)
Key Words: Urodynamics, Natural filling cystometry, Neurogenic bladder, Stroke


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