Liječnički vjesnik, Vol. 136 No. 5-6, 2014.
Review article
URINARY TRACT DYSFUNCTION IN SPINAL CORD INJURY PATIENTS
Saša Moslavac
Ivan Džidić
Aleksandra Moslavac
Pavao Vlahek
Zoran Filipan
Abstract
Spinal cord injury (SCI) results with paralysis but also with micturition dysfunction; therefore rehabilitation management and long-term follow-up include lower urinary tract care in order to prevent upper urinary tract pathology and complications. That comprises timely and standardized neurological and urological diagnostics and eliminatory techniques with intermittent catheterisation in majority of patients. Urological diagnostics include blood and urine tests, urine culture, ultrasound and X-ray of urinary tract, and cystometry to assess dynamic properties of neurogenic bladder. It has been proven that incomplete SCI patients have neurogenic bladder with similar findings as patients with complete injuries, i.e. cystometric capacities are reduced while intravesical pressures are increased, which endanger upper urinary tract. Furthermore, it has been shown that there is no difference of these findings between particular levels of injury: cervical, thoracic, thoracic-lumbar and lumbar, so these risks are similar in every group. Conclusively, it is necessary to conduct urinary tract diagnostics in SCI patients for sake of the quality and quantity of patients’ lives.
Keywords
Spinal cord injuries – complications; Urinary bladder, neurogenic – etiology, diagnosis, physiopathology, rehabilitation; Urinary bladder – physiopathology; Intermittent urethral catheterization; Urodynamics; Manometry
Hrčak ID:
172607
URI
Publication date:
30.6.2014.
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