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Autonomic dysreflexia in urological practice: pathophysiology, prevention and treatment considerations
Purpose Spinal cord injury (SCI) leads to sensorimotor impairments; however, it can also be complicated by significant autonomic dysfunction, including cardiovascular and lower urinary tract (LUT) dysfunctions. Autonomic dysreflexia (AD) is a dangerous cardiovascular complication of SCI often overlo...
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| Published in: | World journal of urology 2024-02, Vol.42 (1), p.80-80, Article 80 |
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| Main Authors: | , , , , |
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| Language: | English |
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| container_end_page | 80 |
| container_issue | 1 |
| container_start_page | 80 |
| container_title | World journal of urology |
| container_volume | 42 |
| creator | Calderón-Juárez, Martín Samejima, Soshi Rempel, Lucas Sachdeva, Rahul Krassioukov, Andrei |
| description | Purpose
Spinal cord injury (SCI) leads to sensorimotor impairments; however, it can also be complicated by significant autonomic dysfunction, including cardiovascular and lower urinary tract (LUT) dysfunctions. Autonomic dysreflexia (AD) is a dangerous cardiovascular complication of SCI often overlooked by healthcare professionals. AD is characterized by a sudden increase in blood pressure (BP) that can result in severe cardiovascular and cerebrovascular complications. In this review, we provide an overview on the clinical manifestations, risk factors, underlying mechanisms, and current approaches in prevention and management of AD.
Methods
After conducting a literature research, we summarized relevant information regarding the clinical and pathophysiological aspects in the context of urological clinical practice
Conclusions
The most common triggers of AD are those arising from LUT, such as bladder distention and urinary tract infections. Furthermore, AD is commonly observed in individuals with SCI during urological procedures, including catheterization, cystoscopy and urodynamics. Although significant progress in the clinical assessment of AD has been made in recent decades, effective approaches for its prevention and treatment are currently lacking. |
| doi_str_mv | 10.1007/s00345-024-04781-0 |
| format | article |
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Spinal cord injury (SCI) leads to sensorimotor impairments; however, it can also be complicated by significant autonomic dysfunction, including cardiovascular and lower urinary tract (LUT) dysfunctions. Autonomic dysreflexia (AD) is a dangerous cardiovascular complication of SCI often overlooked by healthcare professionals. AD is characterized by a sudden increase in blood pressure (BP) that can result in severe cardiovascular and cerebrovascular complications. In this review, we provide an overview on the clinical manifestations, risk factors, underlying mechanisms, and current approaches in prevention and management of AD.
Methods
After conducting a literature research, we summarized relevant information regarding the clinical and pathophysiological aspects in the context of urological clinical practice
Conclusions
The most common triggers of AD are those arising from LUT, such as bladder distention and urinary tract infections. Furthermore, AD is commonly observed in individuals with SCI during urological procedures, including catheterization, cystoscopy and urodynamics. Although significant progress in the clinical assessment of AD has been made in recent decades, effective approaches for its prevention and treatment are currently lacking.</description><identifier>ISSN: 1433-8726</identifier><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-024-04781-0</identifier><identifier>PMID: 38358540</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Autonomic Dysreflexia - etiology ; Autonomic Dysreflexia - prevention & control ; Blood Pressure ; Cystoscopy ; Health Personnel ; Humans ; Medicine ; Medicine & Public Health ; Nephrology ; Oncology ; Risk factors ; Sensorimotor system ; Spinal cord injuries ; Spinal Cord Injuries - complications ; Spinal Cord Injuries - therapy ; Topic Paper ; Urinary tract ; Urogenital system ; Urology</subject><ispartof>World journal of urology, 2024-02, Vol.42 (1), p.80-80, Article 80</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-9f83d6b00de98ba58e5c01873c39d7eaa67f63d69bdba4e02f29312c731af70d3</cites><orcidid>0000-0002-0022-7972</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38358540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Calderón-Juárez, Martín</creatorcontrib><creatorcontrib>Samejima, Soshi</creatorcontrib><creatorcontrib>Rempel, Lucas</creatorcontrib><creatorcontrib>Sachdeva, Rahul</creatorcontrib><creatorcontrib>Krassioukov, Andrei</creatorcontrib><title>Autonomic dysreflexia in urological practice: pathophysiology, prevention and treatment considerations</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
Spinal cord injury (SCI) leads to sensorimotor impairments; however, it can also be complicated by significant autonomic dysfunction, including cardiovascular and lower urinary tract (LUT) dysfunctions. Autonomic dysreflexia (AD) is a dangerous cardiovascular complication of SCI often overlooked by healthcare professionals. AD is characterized by a sudden increase in blood pressure (BP) that can result in severe cardiovascular and cerebrovascular complications. In this review, we provide an overview on the clinical manifestations, risk factors, underlying mechanisms, and current approaches in prevention and management of AD.
Methods
After conducting a literature research, we summarized relevant information regarding the clinical and pathophysiological aspects in the context of urological clinical practice
Conclusions
The most common triggers of AD are those arising from LUT, such as bladder distention and urinary tract infections. Furthermore, AD is commonly observed in individuals with SCI during urological procedures, including catheterization, cystoscopy and urodynamics. Although significant progress in the clinical assessment of AD has been made in recent decades, effective approaches for its prevention and treatment are currently lacking.</description><subject>Autonomic Dysreflexia - etiology</subject><subject>Autonomic Dysreflexia - prevention & control</subject><subject>Blood Pressure</subject><subject>Cystoscopy</subject><subject>Health Personnel</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Risk factors</subject><subject>Sensorimotor system</subject><subject>Spinal cord injuries</subject><subject>Spinal Cord Injuries - complications</subject><subject>Spinal Cord Injuries - therapy</subject><subject>Topic Paper</subject><subject>Urinary tract</subject><subject>Urogenital system</subject><subject>Urology</subject><issn>1433-8726</issn><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kctO3jAQha0KVC7tC3RRRWLDgtCxHcdJdwhxk5C6adeWY0_AKLGDnaD-b1-HnxbUBaux5nxzxppDyBcKpxRAfksAvBIlsKqESja0hA9kn1acl41k9c6b9x45SOkBgMoaxEeyxxsuGlHBPunPljn4MDpT2E2K2A_42-nC-WKJYQh3zuihmKI2szP4vZj0fB-m-01yq7g5yRI-oZ9d8IX2tpgj6nnMjcIEn5zFqFctfSK7vR4Sfn6ph-TX5cXP8-vy9sfVzfnZbWk4q-ey7Rtu6w7AYtt0WjQoDNBGcsNbK1HrWvZ1JtrOdrpCYD1rOWVGcqp7CZYfkuOt7xTD44JpVqNLBodBewxLUqxlklEOQmb06D_0ISzR59-tVN2KVjxTbEuZGNJ6HzVFN-q4URTUmoLapqByCuo5BQV56OuL9dKNaP-N_D17BvgWSFnydxhfd79j-wd5ZpR8</recordid><startdate>20240215</startdate><enddate>20240215</enddate><creator>Calderón-Juárez, Martín</creator><creator>Samejima, Soshi</creator><creator>Rempel, Lucas</creator><creator>Sachdeva, Rahul</creator><creator>Krassioukov, Andrei</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0022-7972</orcidid></search><sort><creationdate>20240215</creationdate><title>Autonomic dysreflexia in urological practice: pathophysiology, prevention and treatment considerations</title><author>Calderón-Juárez, Martín ; Samejima, Soshi ; Rempel, Lucas ; Sachdeva, Rahul ; Krassioukov, Andrei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-9f83d6b00de98ba58e5c01873c39d7eaa67f63d69bdba4e02f29312c731af70d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Autonomic Dysreflexia - etiology</topic><topic>Autonomic Dysreflexia - prevention & control</topic><topic>Blood Pressure</topic><topic>Cystoscopy</topic><topic>Health Personnel</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Risk factors</topic><topic>Sensorimotor system</topic><topic>Spinal cord injuries</topic><topic>Spinal Cord Injuries - complications</topic><topic>Spinal Cord Injuries - therapy</topic><topic>Topic Paper</topic><topic>Urinary tract</topic><topic>Urogenital system</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Calderón-Juárez, Martín</creatorcontrib><creatorcontrib>Samejima, Soshi</creatorcontrib><creatorcontrib>Rempel, Lucas</creatorcontrib><creatorcontrib>Sachdeva, Rahul</creatorcontrib><creatorcontrib>Krassioukov, Andrei</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Calderón-Juárez, Martín</au><au>Samejima, Soshi</au><au>Rempel, Lucas</au><au>Sachdeva, Rahul</au><au>Krassioukov, Andrei</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Autonomic dysreflexia in urological practice: pathophysiology, prevention and treatment considerations</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2024-02-15</date><risdate>2024</risdate><volume>42</volume><issue>1</issue><spage>80</spage><epage>80</epage><pages>80-80</pages><artnum>80</artnum><issn>1433-8726</issn><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
Spinal cord injury (SCI) leads to sensorimotor impairments; however, it can also be complicated by significant autonomic dysfunction, including cardiovascular and lower urinary tract (LUT) dysfunctions. Autonomic dysreflexia (AD) is a dangerous cardiovascular complication of SCI often overlooked by healthcare professionals. AD is characterized by a sudden increase in blood pressure (BP) that can result in severe cardiovascular and cerebrovascular complications. In this review, we provide an overview on the clinical manifestations, risk factors, underlying mechanisms, and current approaches in prevention and management of AD.
Methods
After conducting a literature research, we summarized relevant information regarding the clinical and pathophysiological aspects in the context of urological clinical practice
Conclusions
The most common triggers of AD are those arising from LUT, such as bladder distention and urinary tract infections. Furthermore, AD is commonly observed in individuals with SCI during urological procedures, including catheterization, cystoscopy and urodynamics. Although significant progress in the clinical assessment of AD has been made in recent decades, effective approaches for its prevention and treatment are currently lacking.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38358540</pmid><doi>10.1007/s00345-024-04781-0</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0022-7972</orcidid></addata></record> |
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| ispartof | World journal of urology, 2024-02, Vol.42 (1), p.80-80, Article 80 |
| issn | 1433-8726 0724-4983 1433-8726 |
| language | eng |
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| subjects | Autonomic Dysreflexia - etiology Autonomic Dysreflexia - prevention & control Blood Pressure Cystoscopy Health Personnel Humans Medicine Medicine & Public Health Nephrology Oncology Risk factors Sensorimotor system Spinal cord injuries Spinal Cord Injuries - complications Spinal Cord Injuries - therapy Topic Paper Urinary tract Urogenital system Urology |
| title | Autonomic dysreflexia in urological practice: pathophysiology, prevention and treatment considerations |
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