Spinal Cord, 2021 · DOI: https://doi.org/10.1038/s41393-021-00651-3 · Published: June 17, 2021
This study looks at bladder cancer in people with spinal cord injuries. It examines how the type of bladder management, severity of the spinal cord injury, and the time since the injury affect the risk and characteristics of bladder cancer. The study found that bladder cancer tends to occur later in the course of spinal cord injury. Also, the time between the spinal cord injury and bladder cancer diagnosis was longer in patients who didn't use catheters or had lower motor neuron lesions. The research suggests that regular check-ups for bladder cancer should be more frequent as the time since the spinal cord injury increases. The parameters like severity of spinal cord lesion and bladder emptying methods are not suitable to define vulnerable subpopulations.
The longer latency in catheter-free patients and those with LMNL could inform bladder cancer screening timelines.
Severity of spinal cord lesions may not be a key determinant of bladder cancer risk, making broad screening more relevant.
Future studies should compare patients with chronic indwelling catheters and those with catheter-free management to clarify tumor characteristics.