scholarly journals Neurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-up

Spinal Cord ◽  
2014 ◽  
Vol 52 (6) ◽  
pp. 462-467 ◽  
Author(s):  
N Yıldız ◽  
◽  
Y Akkoç ◽  
B Erhan ◽  
B Gündüz ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury ◽  
Injury Treatment

Urodynamic study of Bladder Behaviour in Traumatic Spinal Cord Injury Patients in Response to Rehabilitation

2013 ◽  
Vol 24 (4) ◽  
pp. 87-91
Author(s):  
Singh Ningthoujam Jungindro ◽  
Keshkar Sanjay, ◽  
Singh Naorem Ajit ◽  
Kumar Ratnesh
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Motor Neuron ◽  
Neurogenic Bladder ◽  
Traumatic Spinal Cord Injury ◽  
Urodynamic Study ◽  
Rehabilitation Intervention ◽  
Cord Injury ◽  
Bladder Rehabilitation

Abstract Objective To study the bladder behaviour in response to rehabilitation intervention in traumatic spinal cord injury (SCI) patients using urodynamic study (UDS) and to compare the nature of the bladder in a rehabilitated and nonrehabilitated neurogenic bladder of traumatic SCI. Study design Prospective follow-up study. Setting Rehabilitation ward of National Institute for the Orthopaedically Handicapped. Material and Method Thirty traumatic SCI patients mean age 31.4±7.9 years, 26 males and 4 females, admitted for rehabilitation were done UDS to see the bladder behaviour in response to rehabilitation intervention and compare the nature of bladder of the rehabilitated and that of the non-rehabilitated neurogenic bladder. Rehabilitation of the bladder was done at least for three months. The study lasted for 2 years with a minimum of one year follow-up. Result In upper motor neuron (UMN) neurogenic bladders there were significant changes in the max. cystometric capacity (p=0.018) after rehab intervention. The compliance, Pdet. at first desire to void and Pdet. at max. cystometric capacity of these patients were also found to have significant correlations (p=0.012, 0.010 and 0.014 respectively). But the volume at the first desire to void does not show must significant changes after rehab intervention (p=0.45). Significant reduction of amplitude and frequency was found in involuntary contractions (detrusor hyper-reflexia). In similar comparison of the lower motor neuron (LMN) neurogenic bladder significant changes after rehab intervention, could be found only in the max. cystometric capacity (p=0.018). Other variables like compliance, volume at first desire to void, Pdet. at first desire to void, and Pdet. at max. cystometric capacity were found to have no significant changes after rehab intervention (p=0.168, 0.194, 0.324, 0.302 respectively). Conclusion The change in the nature of the rehabilitated neurogenic bladder is different with the type of bladder.

scholarly journals A multicentre follow-up of clinical aspects of traumatic spinal cord injury

Spinal Cord ◽  
2006 ◽  
Vol 45 (6) ◽  
pp. 404-410 ◽  
Author(s):  
M C Pagliacci ◽  
◽  
M Franceschini ◽  
B Di Clemente ◽  
M Agosti ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Clinical Aspects ◽  
Traumatic Spinal Cord Injury ◽  
Cord Injury

Late neurological changes following traumatic spinal cord injury

1988 ◽  
Vol 69 (3) ◽  
pp. 399-402 ◽  
Author(s):  
Joseph M. Piepmeier ◽  
N. Ross Jenkins
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Cord Injuries ◽  
Neurological Status ◽  
Neurological Function ◽  
Traumatic Spinal Cord Injury ◽  
Content Type ◽  
Cord Injury ◽  
Fine Print

✓ Sixty-nine patients with traumatic spinal cord injuries were evaluated for changes in their functional neurological status at discharge from the hospital, and at 1 year, 3 years, and 5+ years following injury. The neurological examinations were used to classify patients' spinal cord injury according to the Frankel scale. This analysis revealed that the majority of improvement in neurological function occurred within the 1st year following injury; however, changes in the patients' status continued for many years. Follow-up examinations at an average of 3 years postinjury revealed that 23.3% of the patients continued to improve, whereas 7.1% had deteriorated compared to their status at 1 year. An examination at an average of 5+ years demonstrated further improvement in 12.5%, with 5.0% showing deterioration compared to the examinations at 3 years. These results demonstrate that, in patients with spinal trauma, significant changes in neurological function continue for many years.

scholarly journals Diadenosine tetraphosphate (Ap4A) inhibits ATP-induced excitotoxicity: a neuroprotective strategy for traumatic spinal cord injury treatment

2016 ◽  
Vol 13 (1) ◽  
pp. 75-87 ◽  
Author(s):  
David Reigada ◽  
Rosa María Navarro-Ruiz ◽  
Marcos Javier Caballero-López ◽  
Ángela Del Águila ◽  
Teresa Muñoz-Galdeano ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Traumatic Spinal Cord Injury ◽  
Diadenosine Tetraphosphate ◽  
Cord Injury ◽  
Neuroprotective Strategy ◽  
Injury Treatment

Clinical study of reconstructed bladder innervation below the level of spinal cord injury to produce urination by Achilles tendon–to-bladder reflex contractions

2009 ◽  
Vol 10 (5) ◽  
pp. 452-457 ◽  
Author(s):  
Haodong Lin ◽  
Chunlin Hou ◽  
Xianyou Zhen ◽  
Zhen Xu
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Achilles Tendon ◽  
Neurogenic Bladder ◽  
External Sphincter ◽  
Ventral Root ◽  
Clinical Approach ◽  
Spinal Root ◽  
Cord Injury

Object Neurogenic bladder dysfunction following spinal cord injury (SCI) is a major medical and social problem for which there is no ideal treatment strategy. In the present study, the authors analyze the effectiveness of neurogenic bladder reinnervation in patients with SCIs by using Achilles tendon reflexes below the paraplegic level. Methods Spinal root anastomoses were performed in 12 paraplegic patients with hyperreflexic neurogenic bladder and detrusor external sphincter dyssynergia (DESD) caused by complete suprasacral SCI, in an attempt to reinnervate the bladder. The surgery anastomosed the unilateral proximal end of the S-1 ventral root and the distal end of the S-2 and/or S-3 ventral roots to build the Achilles tendon–to-bladder reflex, while the S-1 dorsal root was kept intact as the trigger for micturition after axonal regeneration. All patients underwent urodynamic evaluation before surgery and at follow-up. Results The mean follow-up duration was 3 years. Of the 12 patients, 9 (75%) regained satisfactory bladder control within 6 to 12 months after ventral root microanastomosis. In these 9 patients, urodynamic studies revealed a change from detrusor hyperreflexia with DESD and high detrusor pressure to almost normal storage and synergic voiding without DESD. The average bladder capacity increased from 258 ± 33 ml to 350 ± 49 ml, residual urine decreased from 214 ± 36 ml to 45 ± 11 ml, and urinary infections were not observed. Patients with impaired renal function experienced a full recovery. Three patients failed to show any improvement after the operation. Conclusions These results suggest the effectiveness of bladder innervation below the level of SCI to produce urination by Achilles tendon–to-bladder reflex contractions, and might therefore provide a new clinical approach to reconstructing spasmodic bladder urination function.

scholarly journals At the junction of disciplines: neurogenic bladder in patients with traumatic spinal cord injury

2019 ◽  
Vol 20 (4) ◽  
pp. 87-94
Author(s):  
E. S. Korshunova ◽  
M. N. Korshunov ◽  
S. P. Darenkov
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
European Association ◽  
Intermittent Catheterization ◽  
Traumatic Spinal Cord Injury ◽  
Basic Principles ◽  
Cord Injury ◽  
Different Types ◽  
European Association Of Urology

The recommendations on the diagnosis of urinary disorders (developed by the International Continence Society and the European Association of Urology) are presented. The effectiveness of drug treatment and catheterization in patients with traumatic spinal cord injury and neurogenic bladder, as well as contraindications to catheterization and the frequency of complications were analyzed. Intermittent catheterization, by the trials’ data, it seems the preferred method of treatment. Different types of urethral catheters are described. There are 3 methods of intermittent catheterization, as well as the basic principles of its implementation on the recommendations of the European Association of Urology. Emphasized that only the cooperation of specialists in the interdisciplinary team creates the conditions for the optimal management of neurogenic bladder that is able to bring the life expectancy of people with traumatic disease of the spinal cord to the indicators in the general population.

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