Positive ice-water test: a predictor of neurological disease?

The urinary bladder is equipped with a reflex system including cold receptors of the bladder wall and having reflex pathways partly separate from the normal micturition reflex. The ice-water test involves cooling of the bladder wall with ice-cold saline solution. In the neurologically intact adult t...

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Bibliographic Details
Published inWorld journal of urology Vol. 14 Suppl 1; p. S51
Main Authors Fall, M, Geirsson, G
Format Journal Article
LanguageEnglish
Published Germany 01.04.1996
Subjects
Adult
Aged
Cold Temperature
Female
Humans
Male
Middle Aged
Motor Neurons - physiology
Muscle Contraction - physiology
Nervous System Diseases - complications
Nervous System Diseases - diagnosis
Predictive Value of Tests
Urinary Incontinence - complications
Urinary Incontinence - diagnosis
Urodynamics
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Summary:The urinary bladder is equipped with a reflex system including cold receptors of the bladder wall and having reflex pathways partly separate from the normal micturition reflex. The ice-water test involves cooling of the bladder wall with ice-cold saline solution. In the neurologically intact adult the test is negative. A positive test indicates overt or occult neuropathy. In this report, examples are given of patients presenting with bladder symptoms and a positive test but initially lacking signs of a neurological condition. During follow-up, various neurogenic diseases appeared. It is suggested that a positive ice-water test may represent a negative prognostic urodynamic sign along with a potential risk for neurogenic disease to come.
ISSN:0724-4983
DOI:10.1007/bf00182066