[Neurogenic bladder with pituitary adenoma: report of two cases]

Hinyokika Kiyo. 1986 Sep;32(9):1307-12.
[Article in Japanese]

Abstract

Two cases of neurogenic bladder with pituitary adenoma are reported. The pituitary adenomas produced excessive GH (growth hormone). The etiology of the neurogenic bladder was not identified by X-ray examination or any other tests. Urodynamic study, however, indicated a functional cause of neurogenic bladder. Case 1 was a 55-year-old male, who had a relatively small pituitary adenoma with mild symptoms. Urologically, there was complete urinary retention. Cystometrogram showed a flaccid pattern, detrusor-sphincter dyssynergia in sphincter-EMG and ice water test was negative. Case 2 was a 67-year-old female, who had a large pituitary adenoma and severe symptoms. Cystometrogram showed an almost normal pattern, however, there was detrusor-sphincter dyssynergia and ice water test was negative. We suggested that the neuropeptide takes some part in the pathophysiologic cause of neurogenic bladder.

Publication types

  • Case Reports

MeSH terms

  • Adenoma / complications*
  • Adenoma / metabolism
  • Female
  • Humans
  • Male
  • Manometry
  • Middle Aged
  • Pituitary Neoplasms / complications*
  • Pituitary Neoplasms / metabolism
  • Somatostatin / metabolism
  • Urinary Bladder / physiopathology
  • Urinary Bladder, Neurogenic / diagnosis
  • Urinary Bladder, Neurogenic / etiology*

Substances

  • Somatostatin