Neurogenic Bladder: Diagnostic Tests

Obligatory medical device diagnostics.

  • Renal ultrasonography (kidney ultrasound)/sonography (ultrasonography) of the urinary tract as a basic orienting examination [anatomic changes of the urinary tract? (e.g., double kidney, bladder diverticulum), residual urine volume?]Note: Residual urine measurement (sonographic or by single-use catheterization) is recommended as a screening method.
  • Urodynamics (bladder pressure measurement) with pelvic floor electromyography (EMG) – for urinary flow and bladder pressure measurement.
  • Uroflowmetry (urine flow measurement; determination of the amount of urine flowing out of the urinary bladder per unit time).
  • Pelvic floor EMG (synonym: pelvic floor electromyography); with the help of the pelvic floor EMG it is possible to simultaneously to the uroflowmetry a recording and assessment of muscle action potentials (electrical currents triggered by muscle activity) both the striated pelvic floor muscles and the sphincter muscles of the urinary bladder during micturition by the electromyogram (EMG) to perform (= flow pelvic floor electromyography (EMG) examination) – to detect a possible. dyscoordinated micturition process
  • Cystometry (synonym: cystomanometry); urological examination method in which the pressure and capacity of the urinary bladder is measured – for suspected neurogenic bladder dysfunction.

Optional medical device diagnostics – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification.

  • Computed tomography (CT) of the abdomen (abdominal CT)/pelvis (pelvic CT) – to exclude pathologic (pathological) findings in the ureter/urinary bladder region.
  • X-ray of the spine – for suspected congenital malformations/fractures (bone fractures).
  • Computed tomography/magnetic resonance imaging of the skull (cranial CT or.cCT/cranial MRI or cMRI) (synonyms: cranial CT; CCT; cranial CT) and the spinal cord (spinal CT) – to exclude central neurological disorders.
  • Lasix or stress isotope nephrogram (nuclear medicine examination procedure that allows assessment of renal function from static and dynamic points of view) – procedure is used when vesicorenal reflux has already occurred to document baseline findings.
  • Urethrocystoscopy (urethral and bladder endoscopy) and urinary bladder lavage cytology.
  • Micturition cystourethrography (MZU; imaging of the urinary bladder and urethra during urination).
  • Bulbocavernosal reflex examination – to exclude a lesion in the S2/S3 region.