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Diabetic Neurogenic Vesical Dysfunction
MAX ELLENBERG, MD
Arch Intern Med. 1966;117(3):348-354.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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A LTHOUGH bladder involvement in diabetes was alluded to over 100 years ago 1 and established as a diabetic neuropathic manifestation 30 years ago,2 it still remains a comparatively obscure clinical entity. The lack of appreciation of its relative frequency, the unfamiliarity with its clinical picture, the urgent indication for available remedial therapy, and the dire consequences of neglect prompt this paper. Our series consists of 27 cases collected within a relatively short period of time and is the largest such series to be reported.
Terminology.
—The term neurogenic vesical dysfunction describes the pathogenesis of the clinical syndrome in diabetes and should replace the term "chord bladder" which includes many pathologically and clinically unrelated entities.3
Clinical Picture.
—The outstanding feature is the insidious nature of onset and progresssion of the bladder paralysis and urinary retention. The interval between voidings gradually increases until urine is passed only once or
. . . [Full Text PDF of this Article]
Author Affiliations
NEW YORK, NY
From the Department of Medicine, The Mount Sinai Hospital, New York.
Footnotes
Received for publication Aug 26, 1965; accepted Oct 26.
Reprint requests to 936 Fifth Ave, New York, NY 10021.
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