Bladder Management and Urologic Outcome in Patients with Chronic Spinal Cord Lesions

Authors

Je-Kuei Yang
Su-Ju Tsai
I-Chun Chen
Liu-Ing Bih

Translated Title

慢性脊髓病變患者的膀胱處理及尿路預後

Abstract

Between February and September 2004, 73 patients with spinal cord lesions of greater than 2 years duration were enrolled in this study. A chart reviewarticle was conducted to record the manner in which the patients' bladder management, previous urologic complications, and any corresponding treatments and effects. Among the patients, 55 were male and 18 were female, with an average age of 29.3±12.1 and 32.0±13.0 years, respectively. The mean duration of the patients' injuries was 9.5±6.9 years in men, and 7.0±4.5 years in women, respectively.Group Ⅰ included 8 patients (11.0%) who had indwelling catheters since the time of their injury and group Ⅱ consisted of 65 patients who underwent bladder training to either void spontaneously or via intermittent catheterization. Of the male subjects in group Ⅱ, 67.3% (33/49) voided spontaneously, 7.1% (3/49) voided post-sphincterotomy, 19.0% (11/49) required intermittent catheterization, and 2.4% (1/49) were converted to an indwelling catheter. Of the female subjects in group Ⅱ, 68.8% (11/16) voided spontaneously, 25.0% (4/16) required intermittent catheterization, and 6.3% (1/16) were converted to an indwelling catheter. The incidence of urolithiasis in groups Ⅰ and Ⅱ was 62.5% (5/8) and 9.2% (6/65), respectively. The incidence of obstructive uropathy in groups Ⅰ and Ⅱ was 62.5% (5/8) and 32.3% (21/65), respectively. As a group, the patients with indwelling catheters had a higher incidence of urologic complications than those patients without an indwelling catheter. Approximately one-third of the patients in the bladder training group suffered from obstructive uropathy. Fortunately, all of the cases of obstructive uropathy were diagnosed early through routine urologic surveillance, and they were graded as mild and responded well to treatment. In conclusion, two-thirds of the patients in the bladder training group did not require an indwelling catheter and they could maintain normal renal function. Bladder training is clearly necessary and helpful for patients with spinal cord lesions.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2007.35(1)04

First Page

25

Last Page

32

Recommended Citation

Yang, Je-Kuei; Tsai, Su-Ju; Chen, I-Chun; and Bih, Liu-Ing (2007) "Bladder Management and Urologic Outcome in Patients with Chronic Spinal Cord Lesions," Rehabilitation Practice and Science: Vol. 35: Iss. 1, Article 4.
DOI: https://doi.org/10.6315/2007.35(1)04
Available at: https://rps.researchcommons.org/journal/vol35/iss1/4