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  4. A comparison of urodynamic findings between patients with complete and incomplete traumatic spinal cord injuries

A comparison of urodynamic findings between patients with complete and incomplete traumatic spinal cord injuries

The Journal of Spinal Cord Medicine, 2020 · DOI: 10.1080/10790268.2018.1533317 · Published: July 1, 2020

Spinal Cord InjuryUrologyRehabilitation

Simple Explanation

Spinal cord injuries can lead to urinary system problems, including neurogenic bladder, a major cause of illness and death. If untreated, it can lead to complications like infections and kidney failure. This study compares bladder function, using urodynamic tests, in patients with complete versus incomplete spinal cord injuries. The goal is to see if testing is equally important in both groups. The study found no significant differences in bladder function between the two groups. This suggests that even if a patient with an incomplete injury seems better, they still need urodynamic testing.

Study Duration
2 Years
Participants
66 patients with traumatic SCI (36 complete, 30 incomplete)
Evidence Level
Retrospective study

Key Findings

  • 1
    No statistically significant difference was found in maximum cystometric capacity (MCC) between complete and incomplete SCI patients.
  • 2
    There was no significant difference in the frequency of low-compliance detrusor or bladder storage and emptying disorders between the two groups.
  • 3
    Clean intermittent catheterization (CIC) was the most frequently recommended method for bladder emptying in both groups after urodynamic studies.

Research Summary

This retrospective study compared urodynamic findings in patients with complete and incomplete traumatic spinal cord injuries (SCI). The aim was to determine the importance of urodynamic testing in patients with incomplete SCI. The study included 66 patients (36 complete, 30 incomplete SCI) and assessed various urodynamic parameters. The results indicated no statistically significant differences in MCC, vesicle pressure at MCC, PVR, detrusor compliance, or storage/emptying disorder frequency between the groups. The study concludes that urodynamic studies are equally important in both complete and incomplete SCI patients. Even if incomplete SCI patients appear functionally better, urodynamic studies are necessary to identify bladder characteristics and guide appropriate treatment.

Practical Implications

Clinical Practice

Urodynamic studies should be performed in patients with incomplete SCI to identify bladder characteristics and guide appropriate treatment, even if they appear functionally better.

Treatment Strategies

Medical treatments and bladder emptying methods used for patients with complete and incomplete SCI can be comparable due to similar bladder characteristics.

Bladder Management

Clean intermittent catheterization (CIC) is a commonly recommended method for bladder emptying in both groups of patients with SCI.

Study Limitations

  • 1
    Retrospective study design
  • 2
    The sample size (n=66) may limit the generalizability of the findings.
  • 3
    The study was conducted at a single center.

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