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Neurogenic urinary disorders in patients with tuberculous spondylitis before and after surgical treatment
- Authors: Gorbunov A.I.1, Murav’ev A.N.1,2, Sokolovich E.G.1,3, Yablonsky P.K.1,3
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Affiliations:
- Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation
- Saint Petersburg Medico-Social Institute,
- Saint Petersburg State University
- Issue: Vol 11, No 1 (2021)
- Pages: 27-32
- Section: Original articles
- URL: https://journals.eco-vector.com/uroved/article/view/52482
- DOI: https://doi.org/10.17816/uroved52482
- ID: 52482
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Abstract
ABSTRACT: Tuberculosis inflammation of vertebral column (spondylitis) can lead to neurogenic lower urinary tract dysfunction. There is lack of available publications for neurogenic lower urinary tract dysfunction in spinal tuberculosis.
OBJECTIVE: To evaluate urodynamic disturbances in spinal tuberculosis before and after surgery for spondylitis.
MATERIALS AND METHODS: We observed 19 patients with spinal tuberculosis, who had symptoms of micturition’s impairment. 14 patients (73,6%) were male and 5 (26,4%) were female, average age was 43,7 ± 7,9 years (27–66). Control evaluation was performed after surgery on day 21–28.
RESULTS: Before surgery we found detrusor overactivity in 11 (57,9%) patients and 2 of those with detrusor overactivity had detrusor-sphincter dyssynergia. Detrusor hypo-/acontractility was diagnosed in 8 (42,1%). After surgery 5 patients (26,3%) exhibited improvement, in one case urodynamic disturbances were resolved. One patient developed detrusor overactivity and incontinence de novo and one patient had worsening neurological status, loss of sensitivity and acontractile bladder.
CONCLUSION: Variable lower urinary tract dysfunction can be diagnosed in spinal tuberculosis. Only 26,3% of patients have improvement after surgery. New conditions or worsening of previous neurogenic lower urinary tract dysfunctions can be observed.
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About the authors
Aleksandr I. Gorbunov
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation
Author for correspondence.
Email: alx.urolog@gmail.com
ORCID iD: 0000-0002-0656-4187
SPIN-code: 9558-8279
urologist, researcher
Russian Federation, Saint PetersburgAleksandr N. Murav’ev
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation; Saint Petersburg Medico-Social Institute,
Email: urolog5@gmail.com
ORCID iD: 0000-0002-6974-5305
SPIN-code: 2243-1683
Candidate of Medical Science, Head of Urology, Gynecology and Abdominal Surgery Direction, Associate Professor, Department of Surgical Diseases
Russian Federation, Saint Petersburg; Saint PetersburgEvgenij G. Sokolovich
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation; Saint Petersburg State University
Email: sokole@mail.ru
ORCID iD: 0000-0003-4794-0588
SPIN-code: 7375-8836
Dr. Sci. (Med.), Professor, Deputy Director for Research, Professor of the Department of Hospital Surgery
Russian Federation, Saint Petersburg; Saint PetersburgPetr K. Yablonsky
Saint Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation; Saint Petersburg State University
Email: glhirurgb2@mail.ru
ORCID iD: 0000-0003-4385-9643
SPIN-code: 3433-2624
Dr. Sci. (Med.), Professor, Director, Head of Department of Hospital Surgery
Russian Federation, Saint Petersburg; Saint PetersburgReferences
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