NIU Xiaoting,SHAO Bei,WANG Xun, et al. The applied value of the BCR technique in diagnosis for diabetic neurogenic bladder and in the evaluation of the efficacy of drugs[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2014, 44(1): 12-14.
Abstract： Objective: To explore the diagnostic value of bulbocavernosus reflex (BCR) in diabetic neurogenic bladder. Methods: Neuroelectrophysiological technique was adopted to determine BCR in 95 diabetes patients with or without sphincter dysfunction (Case Group) and 80 healthy adult (Control Group). All the cases took methylcobalamin tablets for 3 months, then reassed the clinical symptoms, residual urine, blood sugar checks and BCR. Results: BCR latencies in case group were remarkably prolonged than that in control group (P<0.05). BCR amplitudes in case group were remarkably decreased than that in control group (P<0.05). There is no statistical difference of BCR latencies and amplitudes between the two groups before and after methylcobalamin treatment (P>0.05). Conclusion: The patients with diabetic neurogenic bladder have pudendal nerve diseases. BCR is valuable in the topical diagnosis of patients with diabetic neurogenic bladder. Diabetic neurogenic bladder pathological changes are mainly in axonal lesions. The recovery is slow or irreversible after drug treatment.
