PubMed · 9668788
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C S Ivash. 1998. Actionstat. Decompression illness.. https://doi.org/10.1097/00152193-199806000-00015
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Decompression sickness (the "bends") is a well-known risk of scuba diving. The pathophysiology and treatment is well documented. In the urologic data, no reference to the development of a neurogenic bladder as a result of an episode of the bends was found. We present the evaluation and management of a previously asymptomatic man who developed detrusor hyperreflexia after an episode of decompression sickness. Urologists in coastal communities should be aware of the potential risk of the development of neurogenic bladder.
The differential diagnosis in patients with spinal cord disorders is sometimes very difficult. There is an overview about important toxic-metabolic myelopathies, like drugs, ergotamines, Kichererbsen, avitaminosis, diving accidents and radiation exposition. Beside the cause- and the senso-motoric therapy, disturbances bladder-, bowel-, sexual and cardiovascular disorders needs a specialised therapy.
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