Disorders in Urinary Sphincter of Neurological Origin: A Prognostic Aspects

This chapter evaluated the prognosis of urinary sphincter disorders during neurological conditions. Complications of Urinary sphincter disorders of neurological origin can be life threatening. The normal micturition process requires the proper function of both the bladder and urethral sphincters. Normal functionality of the detrusor muscle and a physiologically competent internal and external urethral sphincter is necessary to maintain healthy urinary functionality and continence.

We conducted an analytical, prospective study for a period of six (6) months from January 6 to June 6, 2020 in the neurology department of the Ignace Deen National Hospital in Conakry. A total of 1081 patients were selected among whom, 324 presented (TSUON), that is to say a frequency of 30%, which concerned subjects aged 57.3±16.4 years with a slight female predominance 50.3%. Urinary incontinence (80.6%) was associated with complications such as urinary tract infection with a high proportion of cerebral damage (92.3%). The study showed that urinary incontinence was the most common reason for consultation. HIV infection (P=0.015), bedsores (P=0.049), and inhalation pneumonia (P=0.001) were the main poor prognostic factors.

Urinery sphincter abnormalities are components of a poor prognosis, both vital and functional, in elderly patients with urine incontinence.The factors influencing the regression were human immunodeficiency virus (HIV) infection, pressure sores and inhalation pneumonitis.