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  4. Neurogenic bladder evaluation and management after spinal cord injury: Current practice among urologists working in Saudi Arabia

Neurogenic bladder evaluation and management after spinal cord injury: Current practice among urologists working in Saudi Arabia

Urology Annals, 2011 · DOI: 10.4103/0974-7796.75872 · Published: January 1, 2011

Spinal Cord InjuryUrology

Simple Explanation

This study aims to understand how urologists in Saudi Arabia manage and monitor neurogenic bladder (NB) caused by spinal cord injury (SCI) or myelomeningocele. The researchers sent questionnaires to urologists in Saudi Arabia to gather information on their practices in assessing and treating NB patients, including urinary tract infections. The study found that ultrasound is the preferred method for evaluating the upper urinary tract, and clean intermittent catheterization (CIC) is commonly used for managing NB.

Study Duration
Not specified
Participants
105 urologists working in Saudi Arabia
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Most urologists in Saudi Arabia use ultrasound for upper tract evaluation in NB patients.
  • 2
    Clean intermittent catheterization (CIC) is the most common method for managing NB patients with emptying difficulties.
  • 3
    A significant percentage of urologists lack access to urodynamic machines, which are important for assessing bladder function.

Research Summary

This study investigated the current practices of urologists in Saudi Arabia in managing neurogenic bladder (NB) secondary to spinal cord injury (SCI). The survey revealed that ultrasound is the preferred diagnostic tool for upper tract evaluation, and CIC is the most common management modality for patients with emptying difficulties. The study highlights the need for clear guidelines and specialized rehabilitation centers to improve the care and teaching of urologists in this field.

Practical Implications

Guideline Development

Establish clear, evidence-based guidelines for the management of neurogenic bladder in Saudi Arabia to standardize care.

Resource Allocation

Increase the availability of urodynamic machines in urology departments to improve diagnostic capabilities.

Specialized Training

Develop specialized rehabilitation centers for SCI patients to provide optimal care and urologist teaching.

Study Limitations

  • 1
    Low response rate from urologists
  • 2
    Study limited to urologists in Saudi Arabia
  • 3
    Lack of information on specific patient outcomes

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