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  4. Prediction of Lower Urinary Tract, Sexual, and Bowel Function, and Autonomic Dysreflexia after Spinal Cord Injury

Prediction of Lower Urinary Tract, Sexual, and Bowel Function, and Autonomic Dysreflexia after Spinal Cord Injury

Biomedicines, 2023 · DOI: 10.3390/biomedicines11061644 · Published: June 6, 2023

Spinal Cord InjuryUrologyRehabilitation

Simple Explanation

Spinal cord injury (SCI) can disrupt the pathways that control lower urinary tract, sexual, and bowel function, and also increase the risk of autonomic dysreflexia. Predicting the recovery of these functions is crucial for guiding rehabilitation, counseling, and social reintegration, as well as for designing clinical trials. While there are models for predicting lower urinary tract and bowel outcomes, there is a need for models predicting sexual function and autonomic dysreflexia.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Reliable algorithms exist for predicting lower urinary tract and bowel outcomes after traumatic and ischemic SCI.
  • 2
    A few risk factors for autonomic dysreflexia have been identified, but a predictive model is still lacking.
  • 3
    No model exists to predict the evolution of sexual function after SCI, highlighting a significant gap in research.

Research Summary

This review examines available knowledge and models for predicting lower urinary tract, sexual, and bowel function, and autonomic dysreflexia after SCI. Genitourinary and gastroenteric complications of SCI significantly impact patients' health, functioning, and quality of life, making their recovery a top priority. While reliable prediction models exist for lower urinary tract and bowel function, there is a critical need for models predicting sexual function and further refinement of existing models.

Practical Implications

Improved Patient Counseling

A reliable prognosis helps patients and caregivers understand expected functional outcomes.

Realistic Rehabilitation Goals

Accurate predictions allow for setting realistic rehabilitative aims, enhancing patient motivation and compliance.

Optimized Clinical Trials

Knowledge of functional evolution aids in designing randomized clinical trials to balance intervention groups based on expected recovery.

Study Limitations

  • 1
    Lack of a reliable prediction model for sexual function.
  • 2
    Existing models primarily validated in adult patients with traumatic SCI.
  • 3
    Need for models for non-traumatic and non-ischemic SCI.

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