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Rehabilitation Practice and Science

Translated Title

慢性脊髓損傷患者神經性膀胱併發症發生率之回溯性研究

Abstract

Recent advances in medicine have greatly prolonged the average lifespan of patients with chronic spinal cord injury (SCI). However, many complications arise as the disease enters the chronic phase. SCI is known to cause limb weakness and paresthesia, it also causes multiple system abnormalities that cannot be easily ignored. Particularly troublesome issues develop due to the urinary system complications resulting from the neurogenic bladder. These include overactive bladder, detrusor external sphincter dyssynergia, vesicoureteral reflux, urolithiasis, urinary tract infection (UTI), and even chronic kidney disease. All these issues cause annoying problems that disturb the patient’s health and quality of life. The aim of this study was to retrospectively analyze the incidence of neurogenic bladder complications in patients with chronic SCI. In total, 113 patients with chronic SCI were recruited in this study. The renal function of all patients was regularly followed up at our outpatient department, with the longest follow-up duration extending more than 20 years. Following the analysis of video urodynamic study, renal ultrasonography, patient voiding methods and investigation of the incidence of urinary tract infection, four conclusions were made. First, the rates of detrusor botulinum injection are greater for patients with incomplete SCI than for those with complete SCI (p=0.01). Second, patients with chronic SCI whose onset was more than 20 years ago have a higher rate of accepting urethral sphincterotomy when compared to those whose onset was less than 20 years ago (p=0.013). Third, both long-term indwelling urethral catheters and suprapubic catheters cause a higher incidence of urolithiasis (p=0.022; p=0.011). Fourth, long-term indwelling urethral catheters cause higher rates of UTI (p=0.022). The findings reported in this study should be helpful for future first-line professionals who treat urinary system complications in patients with chronic SCI.

Language

Traditional Chinese

First Page

125

Last Page

132

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