Impaired detrusor contractility with ability to void.
The diagnosis
of diabetic neurogenic bladder is best made with urodynamic testing.
The most common finding is detrusor hyperreflexia with normal bladder
contractility in approximately 33% of patients. Approximately 25% of
patients have detrusor areflexia or detrusor hyperreflexia with impaired
detrusor contractility. Impaired detrusor contractility occurs in
approximately 9% of patients. This pattern is the least common urodynamic
explanation of diabetic neurogenic bladder.
