Valutazione combinata ecourodinamica clinica e neurofisiologica per la predizione di efficacia riabilitativa in soggetti con incontinenza urinaria * : Echourodynamic and neurophysiological screening in patients with urinary incontinence for the evaluation of rehabilitative prognosis

Abstract

The rationale for the present work was to evaluate both neurophysiological and urological parameters and to predict the outcome of rehabilitative therapy. In this study 300 patients with various urological and neurological problems, all presenting altered micturition, were evaluated. In all patients a complete neurophysiological screening was carried out. A parallel urological screening was performed that included morphological and dynamic sonography and urodynamic tests. All the patients underwent rehabilitative therapy. In 91% of the treated patients we have obtained a satisfactory functionality. As expected the patients with stress incontinence, sensitivity urgency sindrome and neurophysiological alterations had less functional recovery. Our results show that combination of neurophysiological screening with traditional urological tests, represents a suitable tool to predict the prognosis in case of micturition disturbances.