Risk factors of video urodynamics and bladder management for long-term complications in patients with chronic spinal cord injury.
Complications
Neurogenic bladder
Self-catheterization
Spinal cord injuries
Urinary catheterization
Urodynamics
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
02 Jun 2024
02 Jun 2024
Historique:
received:
09
02
2024
accepted:
29
05
2024
medline:
2
6
2024
pubmed:
2
6
2024
entrez:
1
6
2024
Statut:
epublish
Résumé
This study explores 15-year urological complications in chronic spinal cord injury (SCI) patients and investigates the predictive factors from video-urodynamic study (VUDS) and bladder management. Analyzing 864 SCI patients with a mean 15.6-year follow-up, we assessed complications and utilized multivariate logistic regression for risk evaluation. VUDS factors such as autonomic dysreflexia, detrusor sphincter dyssynergia, vesicourethral reflux (VUR), contracted bladder, and high voiding detrusor pressure significantly increased the likelihood of recurrent urinary tract infections (rUTI). Low bladder compliance, VUR, and contracted bladder notably raised the risk of hydronephrosis, while contracted bladder and detrusor overactivity with detrusor underactivity heightened chronic kidney disease risk. Volitional voiding reduced rUTI and VUR risk, whereas Valsalva maneuver-assisted voiding increased hydronephrosis risk. In conclusion, a contracted bladder identified in VUDS is associated with long-term urological complications in SCI, we propose that patients already experiencing a contracted bladder should prioritize volitional voiding as their preferred bladder management strategy to minimize the risk of additional complications such as rUTI and VUR. These findings unveil previously unexplored aspects in research, emphasizing the need for proactive management strategies in this patient population.
Identifiants
pubmed: 38824225
doi: 10.1038/s41598-024-63441-w
pii: 10.1038/s41598-024-63441-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
12632Subventions
Organisme : Kaohsiung Medical University Chung-Ho Memorial Hospital
ID : KMUH-111-1M48
Organisme : National Science and Technology Council
ID : NSTC 112-2314-B-037-130
Informations de copyright
© 2024. The Author(s).
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