The importance of urodynamic examinations in relation to the indication for surgical treatment of neurogenic bladder dysfunction

From 1976 to 1982 more than 5200 urodynamic examinations were performed in our centre. More than 2000 spinal cord injured patients were examined urodynamically one or more times. Modern urodynamics enable an adequate individual surgical treatment in most cases. So it is possible to bring the bladder outlet in an appropriate relationship to detrusors efficiency. Micturition of nearly physiological pressure-flow relation will be achieved without too much of incontinence. Surgical intervention can be done much earlier and carefully directed. All patients with surgical interventions were controlled urodynamically 6 months later. Our results and a check-up system with important parameters will be reported.