Neurogenic Detrusor Overactivity, Neurogenic Lower Urinary Tract Dysfunction, Spinal Cord Injury
Conditions
Keywords
spinal cord injury, neurogenic lower urinary tract dysfunction, nerve growth factor, neurogenic detrusor overactivity, urodynamics
Brief summary
Spinal cord injury (SCI) almost always affects bladder function as well. As a result of this bladder dysfunction, individuals with SCI have to undergo regular invasive examination of their bladder function (urodynamic examination). The nerve growth factor (NGF) is released from smooth muscle cells of the bladder, and there are reports, that the concentration of NGF is elevated in the urine of patients with bladder dysfunction. The NGF concentration can also be measured in the blood. The concentration of NGF in the blood and urine of SCI individuals has not yet been investigated. These concentrations may correlate with the severity of bladder dysfunction, and may thus be used to replace or at least reduce the number of the more invasive urodynamic examinations. The hypothesis that urine and blood NGF concentrations in individuals with SCI are higher compared to individuals with healthy bladder function will be tested.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Control Group Inclusion Criteria: * physiologic bladder function
Exclusion criteria
* no signed consent form * age \<18 / \>80 years * urinary tract infection * bladder surgery * radiation therapy of the pelvic area * pregnancy * bleeding disorder Study Group Inclusion Criteria: * neurogenic detrusor overactivity * presentation for urodynamic examination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| urinary concentration of nerve growth factor | day 0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| serum concentration of nerve growth factor | day 0 | — |
| demographics | day 0 | — |
| urodynamics | day 0 | only participants with spinal cord injury |
| International Prostate Symptom Score (I-PSS) | day 0 | — |
Countries
Switzerland