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  4. Risk factors of bladder stones in neurogenic lower urinary tract dysfunction: A real-world study

Risk factors of bladder stones in neurogenic lower urinary tract dysfunction: A real-world study

BJUI Compass, 2024 · DOI: 10.1002/bco2.330 · Published: May 1, 2024

Urology

Simple Explanation

This study looks at why people with nerve-related bladder problems (NLUTD) get bladder stones. It aims to find out what increases the chances of these stones forming and coming back. The study found that certain bladder management methods, like using intermittent or suprapubic catheters, and having recurrent urinary tract infections (rUTIs) make bladder stones more likely to return. The researchers suggest closely watching bladder pressure and treating UTIs carefully, along with using catheters cautiously, to help lower the risk of bladder stones coming back in these patients.

Study Duration
2010-2022 (12 Years)
Participants
114 patients with neurogenic lower urinary tract dysfunction
Evidence Level
Not specified

Key Findings

  • 1
    Patients with neurogenic lower urinary tract dysfunction (NLUTD) experience frequent bladder stone recurrences.
  • 2
    Intermittent catheterization (CIC) and suprapubic catheterization (SPC) are significant risk factors for stone recurrence.
  • 3
    Recurrent urinary tract infections (rUTIs) significantly increase the risk of bladder stone recurrence in NLUTD patients.

Research Summary

This study investigated bladder stone formation and recurrence in patients with neurogenic lower urinary tract dysfunction (NLUTD). The study found that intermittent and suprapubic catheterization, as well as recurrent urinary tract infections (rUTIs), are significant risk factors for stone recurrence in NLUTD patients. The study suggests close monitoring of bladder pressure and urinary tract infections, along with cautious catheter use, to reduce the risk of stone recurrence.

Practical Implications

Enhanced Monitoring

Close and long-term monitoring should be performed in at-risk patients (e.g. NDO, catheterization and rUTI).

Cautious Catheter Use

Cautious application of catheters could help reduce the risk of bladder stone formation.

Aggressive UTI Management

Close control of bladder pressure and UTI could help reduce the risk.

Study Limitations

  • 1
    Single-center study
  • 2
    Retrospective design
  • 3
    Potential independence issues between risk factors

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