International spinal cord injury urodynamic basic data set (version 2.0)

Abstract

Study design: Revision, review, and presentation of the International Spinal Cord Injury (SCI) Urodynamic Basic Data Set (version 2.0). Objectives: Describe the revision and review and present the dataset. Setting: International. Methods: The first version of the dataset was revised according to new knowledge and suggestions. The review included International SCI Data Sets Committee, American Spinal Injury Association (ASIA) board, International Spinal Cord Society (ISCoS) executive and scientific committees, major organizations, and interested individuals. The dataset was also on ASIA and ISCoS websites. All replies were answered and appropriate adjustments made. Finally, the dataset was endorsed by ASIA board, and ISCoS executive and scientific committees. Results: Among revisions are adoptions of new terminology by the International Continence Society. The variable "Detrusor function" has been divided into "Detrusor function during filling cystometry" and "Detrusor function during voiding". The response categories have been adjusted, deleting 'Not applicable' for the variables "Detrusor leak point pressure during filling cystometry", "Cystometric bladder capacity during filling cystometry" and "Urethral function during voiding". The cutoff-value for low bladder compliance has been modified from 10 mL/cm H 2 O to 20 mL/cm H 2 O. Conclusions: The International SCI Urodynamic Basic Data Set (version 2.0) with its complete syllabus is available from Electronic supplementary material The online version of this article (https://doi.org/10.1038/s41394-018-0133-0) contains supplementary material, which is available to authorized users. 1234567890();,:1234567890();,:

Improvements in Bladder Function Following Activity-Based Recovery Training With Epidural Stimulation After Chronic Spinal Cord Injury

“…Compliance was calculated by dividing the volume change (∆V) by the change in detrusor pressure (∆Pdet) during that change in bladder volume and was expressed in ml/cm H 2 O (Abrams et al, 2002). Compliance is considered low below 20 cm/H 2 O (Stöhrer et al, 1999;Pannek et al, 2018). The intravesical pressure (Pves) at which involuntary expulsion of water/urine from the urethral meatus was observed was considered the detrusor leak point pressure (DLPP).…”

Testing sensation of gently squeezing the testes has diagnostic value in spinal cord injury men

“…During the same session, technical sensory tests routinely done in our unit were performed: filling sensation during a standardized urodynamic investigation and sensation of detrusor overactive contractions during that filling. The techniques have been previously published in detail, as well as how to interpret the results [3][4][5]. Another diagnostic technique for the LUT sensation, EPT of the bladder, bladder neck, and proximal and distal urethra were determined as described in detail before [1].…”

Neuro-Urology: Call for Universal, Resource-Independent Guidance

“…For example, the Spina Bifida Association provides guidance on the transition of patients with spina bifida from pediatric to adult urological clinics [15]. The international spinal cord injury urodynamics basic data set has been developed [16], and the Infectious Disease Society of America's catheter-associated UTI guidance addresses infectious manifestations of NLUTD [17]. The nursing and neurourological working groups of the Medical Society of Paraplegia have generated guidance on intermittent catheterization in NLUTD [18].…”