Satisfaction with Urinary Incontinence Treatments in Patients with Chronic Spinal Cord Injury

This study investigates long-term satisfaction and complications after various urinary incontinence treatments in patients with chronic spinal cord injury (SCI). Different bladder management strategies and surgical procedures were assessed to determine patient satisfaction and outcomes. Patients underwent thorough urological examinations and were treated with either conservative approaches (medication, catheterization) or surgical procedures (Botox injections, bladder augmentation). Satisfaction with urinary continence improvement, reasons for dissatisfaction, complications, and overall bladder condition were evaluated. The study found that surgical procedures generally resulted in higher satisfaction compared to conservative methods. Appropriate surgical interventions for neurogenic lower urinary tract dysfunction (NLUTD) can lead to satisfaction with both urinary continence and overall bladder function.

• 1
  High satisfaction rates were observed after detrusor Botox injection (81.1%), augmentation enterocystoplasty (91.4%), autoaugmentation (80%), Kock pouch diversion, and continent cystostomy (all 100%).
• 2
  Fair satisfaction rates were noted after ileal conduit diversion (66.7%), suburethral sling (64.3%), and AUS implantation (66.7%).
• 3
  Conservative treatments like medicines, CIC, cystostomy, or indwelling catheters had less satisfactory outcomes (all < 40%).
• 4
  A high percentage of patients chose to change to a different form of treatment after initial treatment.