Correction of Urination Disorders Based on a Comprehensive Urodynamic Examination's Results
Authors:   Kazan State Medical Academy — a branch of Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation, Amirov A.R. ,   Kazan, Russian Federation,   State Autonomous Healthcare Institution “Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan”; Kazan, Russian Federation,   Federal State Budgetary Educational Institution of Higher Education “Kazan (Volga region) Federal University”; Kazan, Russian Federation, Bodrova R.A. ,   Kazan State Medical Academy — a branch of Federal State Budgetary Educational Institution of Further Professional Education “Russian Medical Academy of Continuous Professional Education” of the Ministry of Healthcare of the Russian Federation; Kazan, Russian Federation,   State Autonomous Healthcare Institution “Hospital for War Veterans”; Kazan, Russian Federation, Gainullov A.N. ,   State Autonomous Healthcare Institution “Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan”; Kazan, Russian Federation, Shaikhraziev B.M. ,   State Autonomous Healthcare Institution “Republican Clinical Hospital of the Ministry of Health of the Republic of Tatarstan”; Kazan, Russian Federation
Published: October 2022

Objective of the Paper: To assess the need for a urodynamic study in a patient with a spinal injury in the early recovery period. Key points. Patient N, 16 years old, was admitted to the department of medical rehabilitation with an injury of the cervical spine, fracture of the body of C4-C5 vertebrae, compression with displacement into the spinal canal, fracture-dislocation, incomplete rupture of the spinal cord at the level of C4, C5, below are the signs cystic-atrophic changes to the level of C7. According to ultrasound data: polycystic kidney disease. The patient was examined by a neuro-urologist, was assigned to perform complete blood count, urine test, biochemical blood test, ultrasound of the kidneys and bladder before and after emptying, bacteriological urine analysis, complex urodynamic study (CUDS). According to the results of the study, the diagnosis was made: Neurogenic bladder. Detrusor asensory overactivity. Detrusor-sphincter dyssynergia. Ishuriya paradox. Polycystic kidney disease. Autonomous dysreflexia. The patient was prescribed M-anticholinergic and α1-adrenergic blocker, as well as intermittent catheterization 6 times a day. After 2 months, in order to assess urodynamics, a second consultation with a neuro-urologist and a CUDS were carried out. Against the background of the therapy, there is a positive trend, dry gaps have increased. Conclusion. Correction of a neurogenic bladder in patients with spinal cord injury is an integral part of the rehabilitation process. A multidisciplinary approach with the involvement of a urologist improves the quality of patient rehabilitation. Keywords: neurogenic bladder, overactive detrusor, detrusor-sphincter dyssynergia, spinal cord injury, correction of urinary disorders, ischuria paradoxа.