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  4. Urinary system complications and long-term treatment compliance in chronic traumatic spinal cord injury patients with neurogenic lower urinary tract dysfunction

Urinary system complications and long-term treatment compliance in chronic traumatic spinal cord injury patients with neurogenic lower urinary tract dysfunction

Turk J Phys Med Rehab, 2022 · DOI: 10.5606/tftrd.2022.7719 · Published: June 1, 2022

Spinal Cord InjuryUrology

Simple Explanation

This study examines urinary complications and how well people stick to long-term treatment plans after a spinal cord injury. The research looks at patients with neurogenic lower urinary tract dysfunction, which is a bladder problem caused by nerve damage from the spinal cord injury. The study found that regular follow-up and consistent treatment, like using catheters and taking medication, are important for managing bladder issues and preventing complications in these patients.

Study Duration
10 Years
Participants
89 patients with SCI (79 males, 19 females; mean age: 39.8±12.2 years; range, 19 to 72 years)
Evidence Level
Not specified

Key Findings

  • 1
    Compliance with clean intermittent catheterization (CIC) was 79.8%, while compliance with anticholinergic treatment was 58.2%.
  • 2
    Patients who continued anticholinergic treatment showed a statistically significant increase in bladder capacity and a decrease in detrusor pressures.
  • 3
    18% of patients had urinary calculus, and 47.2% had infections more than once a year, requiring antibiotics.

Research Summary

This retrospective study evaluated urinary complications and treatment compliance in 89 patients with traumatic spinal cord injury (TSCI) and neurogenic lower urinary tract dysfunction (NLUTD). The study found that consistent use of clean intermittent catheterization (CIC) and anticholinergic medications was associated with improved bladder capacity and reduced detrusor pressure. The research highlights the importance of regular follow-up and urodynamic testing to manage neurogenic bladder and prevent urinary complications in patients with TSCI.

Practical Implications

Early Urodynamic Evaluation

Perform urodynamic tests early after spinal cord injury to assess bladder function and guide treatment strategies.

Promote Treatment Adherence

Encourage and support patient compliance with CIC and anticholinergic medications to optimize bladder management and reduce complications.

Regular Follow-up

Implement regular follow-up visits and repeated urodynamic testing to monitor bladder function, detect complications, and adjust treatment plans as needed.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Failure to establish a cause-effect relationship
  • 3
    Limited information about microorganisms and their colony numbers

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