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  4. Bladder management practices in spinal cord injury patients: A single center experience from a developing country

Bladder management practices in spinal cord injury patients: A single center experience from a developing country

The Journal of Spinal Cord Medicine, 2019 · DOI: 10.1080/10790268.2017.1417803 · Published: January 1, 2019

Spinal Cord InjuryUrologyRehabilitation

Simple Explanation

This study examines how spinal cord injury (SCI) patients manage their bladders in Pakistan, a developing country. Inadequate bladder management can lead to medical issues and even death in SCI patients. Clean intermittent catheterization (CIC), where patients regularly use a clean catheter to empty their bladder, is the recommended method. The study looks at the different methods used, complications, and awareness of follow-up care. The research found that CIC was commonly used, but many patients reused disposable catheters for several days due to cost. Urinary tract infections were less frequent with CIC. This highlights the need for affordable and accessible bladder management solutions in developing countries.

Study Duration
Feb 2013 to Feb 2014
Participants
34 males with SCI
Evidence Level
Cross sectional survey

Key Findings

  • 1
    CIC was the preferred method of bladder management, followed by indwelling Foley catheters.
  • 2
    Re-use of disposable catheters is a common practice due to cost issues.
  • 3
    The rate of UTI was significantly lower in patients on CIC.

Research Summary

This study documents bladder management practices among SCI patients in Pakistan, highlighting the preference for CIC but also the common practice of reusing disposable catheters due to cost. The study found a lower rate of UTIs among patients using CIC, reinforcing its benefits. However, it also reveals challenges related to affordability and access to appropriate supplies. The findings emphasize the need for developing national guidelines and affordable solutions to improve bladder management and reduce complications in SCI patients in developing countries.

Practical Implications

Cost-effective solutions

Explore and implement cost-effective and accessible bladder management solutions to reduce the reuse of disposable catheters.

National Guidelines

Develop national guidelines for bladder management in SCI patients to standardize care and improve outcomes.

Patient Education

Enhance patient education and awareness regarding proper catheterization techniques and the importance of regular follow-up care.

Study Limitations

  • 1
    Small sample size
  • 2
    Single-center study limits generalizability
  • 3
    Short injury duration limits long-term compliance assessment

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