Voiding conditions, renal and bowel function in a cohort of adults with spina bifida
| Autor: | Åke Seiger, Ingrid Ehrén, Martina Bendt, Lena Lindbo, Hanna Gabrielsson |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Constipation Neurology Adolescent Urology 030232 urology & nephrology Renal function Urinary incontinence Kidney urologic and male genital diseases Cohort Studies Young Adult 03 medical and health sciences 0302 clinical medicine Humans Medicine Registries Spinal Dysraphism Neurogenic bladder dysfunction Aged 030219 obstetrics & reproductive medicine business.industry Spina bifida Middle Aged Urination Disorders medicine.disease female genital diseases and pregnancy complications Cohort Urinary Sphincter Artificial Female Neurology (clinical) medicine.symptom business Fecal Incontinence Voiding Disorders |
| Zdroj: | Neurourology and Urodynamics. 39:1796-1802 |
| ISSN: | 1520-6777 0733-2467 |
| DOI: | 10.1002/nau.24422 |
| Popis: | To map voiding patterns, degree of continence, use of drugs for voiding disorders, kidney function and surgical interventions but also the bowel function in a near-total regional cohort of adults with spina bifida aged more than or equal to 18 years.All individuals more than or equal to 18 years of age with spina bifida registered at a regional outpatient clinic (n = 219) were invited to participate, of which 196 persons were included. Bladder and bowel function were assessed according to questions used by the Nordic Spinal Cord Injury Registry by structured interviews and questionnaires in combination with review of patient charts including kidney function.Twenty percent of the patients voided spontaneously. Fifty-four percent used clean intermittent catherization (CIC) and of these, 14% had also undergone augmentation of the bladder and/or implantation of an artificial sphincter or sling, 23% had undergone major urological surgery, and 3% had an indwelling catheter. Seventeen percent of patients voiding spontaneously or using CIC reported total continence but as many as 36% reported daily leakage. Anticholinergics was the most common drug, used by 21% in the total cohort. About 13% of the patients had a reduced kidney function but only 1.5% had end stage renal failure. Seventy-three percent had problems emptying the bowel and 18% experienced fecal leakage weekly or even daily.We found a large variation in problems with bladder and bowel function in this adult group of persons with spina bifida. A structured customized program for follow-up seems necessary to optimize their health status in these areas. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text