Bethanechol supersensitivity test, rhabdosphincter electromyography and bulbocavernosus reflex latency in the diagnosis of neuropathic detrusor areflexia

A. A. Sidi, D. D. Dykstra, W. Peng

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

A total of 57 patients with neuropathic or nonneuropathic detrusor areflexia was studied with the bethanechol supersensitivity test, electromyography of the urethral rhabdosphincter and bulbocavernosus reflex latency. The sensitivity of these tests in detecting neuropathic areflexia was 90, 87.5 and 78.1 per cent, respectively, and the specificity was 95.6, 76 and 80 per cent, respectively. When all 3 tests were performed together the combined accuracy approached 100 per cent. These combined tests are useful in the diagnosis of patients with equivocal bladder neuropathic conditions and in those with subtle neurological lesions.

Original languageEnglish (US)
Pages (from-to)335-337
Number of pages3
JournalJournal of Urology
Volume140
Issue number2
DOIs
StatePublished - Jan 1 1988

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