Neurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-up
| العنوان: | Neurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-up |
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| المؤلفون: | Ebru Alemdaroğlu, Ayşenur Bardak, Ece Çınar, Bilge Yilmaz, N Catalbaş, Hakan Tunç, Yesim Akkoc, Yasin Demir, Murat Ersöz, Seçilay Güneş, Kurtuluş Köklü, Berrin Gündüz, Ridvan Alaca, Hale Karapolat, Haydar Gök, Necmettin Yildiz, I Turna, Belgin Erhan |
| المساهمون: | Ege Üniversitesi |
| بيانات النشر: | Nature Publishing Group, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Questionnaires, Male, intermittent catheterization, spinal cord lesion, retrospective study, urologic and male genital diseases, Cholinergic Antagonists, Adolescent, Adult, Aged, Cholinergic Antagonists/therapeutic use, Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Intermittent Urethral Catheterization, Middle Aged, Retrospective Studies, Sex Factors, Spinal Cord Injuries/drug therapy/*physiopathology/*rehabilitation, Surveys and Questionnaires, Treatment Outcome, Urinary Bladder, Neurogenic/drug therapy/*physiopathology/*rehabilitation, Urinary Tract Infections/drug therapy/physiopathology, Young Adult, middle aged, cholinergic receptor blocking agent, bladder training, indwelling catheter, pathophysiology, media_common, fever, solifenacin, Urinary bladder, adult, medical specialist, trospium chloride, article, neurogenic bladder, clinical trial, General Medicine, condom catheter, oxybutynin, female genital diseases and pregnancy complications, aged, female, medicine.anatomical_structure, priority journal, Neurology, Urinary Tract Infections, quadriplegia, young adult, disease severity, Propiverine, Tolterodine, medicine.drug, adult diaper, medicine.medical_specialty, sex difference, media_common.quotation_subject, Urinary system, bacteriuria, Bacteriuria, Urination, urethral catheter, paraplegia, Internal medicine, medicine, cross-sectional study, follow up, human, Urinary Bladder, Neurogenic, Oxybutynin, micturition, Spinal Cord Injuries, drug use, Solifenacin, business.industry, questionnaire, asymptomatic bacteriuria, medicine.disease, propiverine, tolterodine, major clinical study, urethral catheterization, spinal cord injury, multicenter study, Neurology (clinical), botulinum toxin A, darifenacin, urinary tract infection, business |
| الوصف: | WOS: 000337233100009 PubMed ID: 24732167 Study design: Multi-center, cross-sectional study. Objectives: Our aim was to evaluate the treatment methods and follow-up of neurogenic bladder in patients with traumatic spinal cord injury retrospectively using a questionnaire. Setting: Turkey. Methods: Three hundred and thirty-seven patients who had spinal cord injury for at least 2 years were enrolled from six centers in the neurogenic bladder study group. They were asked to fill-out a questionnaire about treatments they received and techniques they used for bladder management. Results: The study included 246 male and 91 female patients with a mean age of 42 +/- 14 years. Intermittent catheterization (IC) was performed in 77.9% of the patients, 3.8% had indwelling catheters, 13.8% had normal spontaneous micturition, 2.6% performed voiding maneuvers, 1.3% used diapers and 0.6% used condom catheters. No gender difference was found regarding the techniques used in bladder rehabilitation (P > 0.05). Overall, 63.2% of patients used anticholinergic drugs; anticholinergic drug use was similar between genders (P > 0.05). The most common anticholinergic drug used was oxybutynin (40.3%), followed by trospium (32.6%), tolterodine (19.3%) darifenacin (3.3%), propiverine (3.3%) and solifenacin (1.1%). The specialties of the physicians who first prescribed the anticholinergic drug were physiatrists (76.2%), urologists (22.1%) and neurologists (1.7%). Only four patients had previously received injections of botulinum-toxin-A into the detrusor muscle and three of them stated that their symptoms showed improvement. Most of the patients (77%) had regular follow-up examinations, including urine cultures, urinary system ultrasound and urodynamic tests, when necessary; the reasons for not having regular control visits were living distant from hospital (15.3%) and monetary problems (7.7%). Of the patients, 42.7% did not experience urinary tract infections (UTI), 36.4% had bacteriuria but no UTI episodes with fever, 15.9% had 1-2 clinical UTI episodes per year and 5% had >= 3 clinical UTIs. The clinical characteristics of patients with and without UTI (at least one symptomatic UTI during 1 year) were similar (P40.05). The frequency of symptomatic UTI was similar in patients using different bladder management techniques (P > 0.05). Conclusion: The most frequently used technique for bladder rehabilitation in patients with SCI was IC (77.9%). In all, 63.2% of patients used anticholinergic drugs, oxybutynin being the most commonly used drug. Also, 77% of patients had regular control visits for neurogenic bladder; 42.7% did not experience any UTIs. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0003-3723 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::74f8ff03e3fc761b5c39df1cc18a1687Test https://hdl.handle.net/11454/50052Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....74f8ff03e3fc761b5c39df1cc18a1687 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00033723 |
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