Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury

Adriaansen, Jacinthe J E; Asbeck, F; Tepper, Marga; Faber, Willemijn; Visser-Meily, Johanna M A; Kort, Laetitia M.O. de; Post, Marcel W M

doi:10.1179/2045772315y.0000000056

Cited by 64 publications

(55 citation statements)

References 26 publications

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“…That study [10] consisted of more individuals with complete SCI who might experience more bowel‐related and bladder‐related problems; however, we did not find any associations between these problems and the level and severity of injury. Clean intermittent catheterization was the most common bladder evacuation method, and suprapubic catheters were mostly used in the tetraplegia AIS A‐C, which is in agreement with findings from other European studies of people with SCI of different ages [34‐36].…”

Section: Discussionsupporting

confidence: 89%

Secondary Health Conditions, Activity Limitations, and Life Satisfaction in Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Iwarsson

Lexell

2016

PM&R

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Section: Discussionsupporting

confidence: 89%

Secondary Health Conditions, Activity Limitations, and Life Satisfaction in Older Adults With Long‐Term Spinal Cord Injury

Jörgensen

Iwarsson

Lexell

2016

PM&R

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“…SCI is a life‐changing condition for patients with major consequences and a loss of quality of life. The LUT is one of the main regions affected by SCI causing NLUTD. Up to date, the therapeutic modalities for SCI‐associated NLUTD are only symptomatic.…”

Section: Discussionmentioning

confidence: 99%

“…The LUT is one of the main regions affected by SCI causing NLUTD. 19 Up to date, the therapeutic modalities for SCI-associated NLUTD are only symptomatic.…”

Section: Discussionmentioning

confidence: 99%

Early sacral neuromodulation ameliorates urinary bladder function and structure in complete spinal cord injury minipigs

Keller

Patras

Huţu

et al. 2019

Neurourology and Urodynamics

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Aims:To determine the effects of early sacral neuromodulation (SNM) and pudendal neuromodulation (PNM) on lower urinary tract (LUT) function, minipigs with complete spinal cord injury (cSCI) were analyzed. SNM and PNM have been proposed as therapeutic approaches to improve bladder function, for example after cSCI. However, further evidence on efficacy is required before these methods can become clinical practice.Methods: Eleven adults, female Göttingen minipigs with cSCI at vertebral level T11-T12 were included: SNM (n = 4), PNM (n = 4), and SCI control (SCIC: n = 3). Tissue from six healthy minipigs was used for structural comparisons. Stimulation was started 1 week after cSCI. Awake urodynamics was performed on a weekly basis. After 16 weeks follow-up, samples from the urinary bladder were taken for analyses. Results: SNM improved bladder function with better capacities and lower detrusor pressures at voiding and avoided the emergence of detrusor sphincter dyssynergia (DSD). PNM and untreated SCI minipigs had less favorable outcomes with either DSD or constant urinary retention. Structural results revealed SCI-typical fibrotic alterations in all cSCI minipigs. However, SNM ---

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“…Adriaansen et al beschrieben eine signi kant schlechtere Lebensqualität durch Dauerkatheterismus im Vergleich zu anderen Harnableitungen [13]. Die Keimlast begünstigt zudem Harnblasensteine.…”

Section: Neurogene Retentionunclassified

“…Die Schwerpunktzentren übernehmen vor allem den Part der Erstversorgung, erapieeinstellung und der jährlichen Kontrolluntersu-URO-NEWS 2016; 20 (3) chungen nach ICI-Standard [13]. Die Schwerpunktzentren übernehmen vor allem den Part der Erstversorgung, erapieeinstellung und der jährlichen Kontrolluntersu-URO-NEWS 2016; 20 (3) chungen nach ICI-Standard [13].…”

Section: Fazitunclassified

Individuelle Langzeitbetreuung ist eine Herausforderung für Urologen

Bauer

Roggenkamp²,

Posch-Zimmermann³

et al. 2016

Uro-News

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Neurogene Blasenfunktionsstörungen betre en nahezu alle Menschen, die eine Rückenmarksläsion erlitten haben. Diese brauchen eine auf die individuellen Bedürfnisse abgestimmte Langzeitbetreuung. Das stellt für das urologische Management der Erkrankung eine Herausforderung dar. URO-NEWS 2016; 20 (3) Zertifizierte Fortbildung © Jürgen Rabatscher Läsionen im Rückenmark bedeuten ein erhebliches Risiko für Blase und Niere. URO-NEWS 2016; 20 (3) dergelassenen Facharzt eine persönliche Betreuung wichtig, die für die Compliance des Patienten und die urologische Tumorvorsorge unerlässlich ist.

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Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury

Abstract: CIC is the most common bladder-emptying method in Dutch people with long-term SCI. Clinicians should be aware of the impact of NLUTD on QoL, especially for those using an indwelling catheter.

Cited by 64 publications

References 26 publications

Secondary Health Conditions, Activity Limitations, and Life Satisfaction in Older Adults With Long‐Term Spinal Cord Injury

Secondary Health Conditions, Activity Limitations, and Life Satisfaction in Older Adults With Long‐Term Spinal Cord Injury

Early sacral neuromodulation ameliorates urinary bladder function and structure in complete spinal cord injury minipigs

Individuelle Langzeitbetreuung ist eine Herausforderung für Urologen

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