open access

Vol 15, No 4 (2021)
Research paper
Published online: 2021-07-16
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Neurogenic bladder dysfunction in patients emerged from chronic disorders of consciousness

Julia Nekrasova1, Mikhail Kanarskii1, Elena Manzha12, Ilya Borisov1, Pranil Pradhan1, Denis Shunenkov1, Anna Kirillova1, Sergey Tsyganov12, Vera Pasko1, Marina Petrova31, Igor Pryanikov1
DOI: 10.5603/PMPI.2021.0023
·
Palliat Med Pract 2021;15(4):299-302.
Affiliations
  1. Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology
  2. Konchalovsky City Clinical Hospital
  3. People’s Friendship University of Russia

open access

Vol 15, No 4 (2021)
Research paper
Published online: 2021-07-16

Abstract

The observational study aimed to analyse the neurogenic bladder dysfunction in patients during the recovery
from the chronic disorder of consciousness. We compared aetiology, level of consciousness, age with
the neurogenic bladder dysfunction in these cases. The study results suggested that the increase in the
consciousness level partially restores the bladder function, which significantly reduces the risk of infections
and somatic disorders, thereby affecting the duration and quality of life. Recovery of the bladder function
also depends on the aetiology of the disorder of consciousness: patients in the anoxic group had the least
chance of bladder function recovery making global brain ischaemia an unfavourable factor. Correlations
between urination dysfunctions with age and level of consciousness at admission have not been found.

Abstract

The observational study aimed to analyse the neurogenic bladder dysfunction in patients during the recovery
from the chronic disorder of consciousness. We compared aetiology, level of consciousness, age with
the neurogenic bladder dysfunction in these cases. The study results suggested that the increase in the
consciousness level partially restores the bladder function, which significantly reduces the risk of infections
and somatic disorders, thereby affecting the duration and quality of life. Recovery of the bladder function
also depends on the aetiology of the disorder of consciousness: patients in the anoxic group had the least
chance of bladder function recovery making global brain ischaemia an unfavourable factor. Correlations
between urination dysfunctions with age and level of consciousness at admission have not been found.

Get Citation

Keywords

chronic disorders of consciousness, hyperactive bladder, neurogenic bladder, vegetative state, anoxic brain injury, traumatic brain injury

About this article
Title

Neurogenic bladder dysfunction in patients emerged from chronic disorders of consciousness

Journal

Palliative Medicine in Practice

Issue

Vol 15, No 4 (2021)

Article type

Research paper

Pages

299-302

Published online

2021-07-16

Page views

5737

Article views/downloads

11561

DOI

10.5603/PMPI.2021.0023

Bibliographic record

Palliat Med Pract 2021;15(4):299-302.

Keywords

chronic disorders of consciousness
hyperactive bladder
neurogenic bladder
vegetative state
anoxic brain injury
traumatic brain injury

Authors

Julia Nekrasova
Mikhail Kanarskii
Elena Manzha
Ilya Borisov
Pranil Pradhan
Denis Shunenkov
Anna Kirillova
Sergey Tsyganov
Vera Pasko
Marina Petrova
Igor Pryanikov

References (13)
  1. Owen AM. Detecting consciousness: a unique role for neuroimaging. Annu Rev Psychol. 2013; 64: 109–133.
  2. Laureys S, Celesia GG, Cohadon F, et al. European Task Force on Disorders of Consciousness. Unresponsive wakefulness syndrome: a new name for the vegetative state or apallic syndrome. BMC Med. 2010; 8: 68.
  3. Giacino JT, Fins JJ, Laureys S, et al. Disorders of consciousness after acquired brain injury: the state of the science. Nat Rev Neurol. 2014; 10(2): 99–114.
  4. Hodelín-Tablada R. Minimally Conscious State: Evolution of Concept, Diagnosis and Treatment. MEDICC Review. 2016; 18(4): 43.
  5. Monti MM, Laureys S, Owen AM. The vegetative state. BMJ. 2010; 341: c3765–c3765.
  6. Multi-Society Task Force on PVS. Medical aspects of the persistent vegetative state (1). N Engl J Med. 1994; 330(21): 1499–1508.
  7. McKibben MJ, Seed P, Ross SS, et al. Urinary Tract Infection and Neurogenic Bladder. Urol Clin North Am. 2015; 42(4): 527–536.
  8. Mehdi Z, Birns J, Bhalla A. Post-stroke urinary incontinence. Int J Clin Pract. 2013; 67(11): 1128–1137.
  9. Pettersen R, Haig Y, Nakstad PH, et al. Subtypes of urinary incontinence after stroke: relation to size and location of cerebrovascular damage. Age Ageing. 2008; 37(3): 324–327.
  10. Gelber DA, Good DC, Laven LJ, et al. Causes of urinary incontinence after acute hemispheric stroke. Stroke. 1993; 24(3): 378–382.
  11. Badlani G, Vohra S, Motola J. Detrusor behavior in patients with dominant hemispheric strokes. Neurourology and Urodynamics. 1991; 10(1): 119–123.
  12. Feder M, Heller L, Tadmor R, et al. Urinary continence after stroke: association with cystometric profile and computerised tomography findings. Eur Neurol. 1987; 27(2): 101–105.
  13. Aidinoff E, Groswasser Z, Bierman U, et al. Vegetative state outcomes improved over the last two decades. Brain Inj. 2018; 32(3): 297–302.

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