Influence of urinary management on urologic complications in a cohort of spinal cord injury patients.
| Autor: | Gallien P; Clinique de Rééducation Fonctionnelle, Centre Hospitalier et Universitaire de Rennes, Hôpital Pontchaillou, France., Nicolas B, Robineau S, Le Bot MP, Durufle A, Brissot R |
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| Jazyk: | angličtina |
| Zdroj: | Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 1998 Oct; Vol. 79 (10), pp. 1206-9. |
| DOI: | 10.1016/s0003-9993(98)90263-5 |
| Abstrakt: | Objective: To study urologic complications in patients with spinal cord injury (SCI) in relation to their bladder management. Design and Setting: A cohort study of patients with SCI in a rehabilitation center. Participants: One hundred eighty-two patients were studied; demographic data, disease characteristics, and urologic history were obtained for each. Intervention: Patients responding to a questionnaire were given a clinical exam. Their medical records were reviewed, with particular attention given to the following urologic complications: lithiasis, urinary infections, orchiepididymitis, urethral trauma, vesicorenal reflux, and renal failure. Results: Results are reported for 123 patients. Time since SCI was 8 years. Intermittent catheterization was the main method of bladder management. Only 32 patients had changed their method of vesical voiding. Urinary complications had developed in 75% of patients. The most common complication was urinary infection. Vesicoureteral reflux occurred in 26% of patients using percussion. Trauma related to catheterization was the main problem with intermittent catheterization, responsible for a high rate of orchiepididymitis. Conclusion: Intermittent catheterization is the most-used method of bladder management, but with a nonnegligible rate of urethral trauma in men. Percussion and Credé maneuver appear to be acceptable techniques of bladder management if the patient is closely monitored. |
| Databáze: | MEDLINE |
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