Satisfaction with Surgical Procedures and Bladder Management of Chronic Spinal Cord Injured Patients with Voiding Dysfunction Who Desire Spontaneous Voiding

This study investigated how satisfied patients with spinal cord injuries (SCI) are with surgical procedures and bladder management techniques aimed at helping them urinate spontaneously. The study included 261 patients who underwent various surgical procedures to reduce bladder outlet resistance and facilitate spontaneous voiding. The researchers aimed to understand long-term patient satisfaction and the need for additional interventions to achieve satisfactory voiding.

• 1
  Most patients were satisfied with their initial bladder outlet operation in facilitating spontaneous voiding, with TUI-BN and external sphincterotomy showing the highest satisfaction rates.
• 2
  However, a significant percentage of patients required repeat or multiple surgical interventions to achieve satisfactory voiding.
• 3
  Persistent dysuria and recurrent urinary tract infections were common reasons for dissatisfaction among patients after surgery.