An unresolved relationship: the relationship between lesion severity and neurogenic bladder in patients with spinal cord injury

Afşar, Sevgi İkbali; Sarıfakıoğlu, Banu; Yalbuzdağ, Şeniz Akçay; Coşar, Sacide Nur Saraçgil

doi:10.1179/2045772315y.0000000011

Cited by 6 publications

(4 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The higher prevalence of individuals with complete SCI admitted to the 3-day checkup program could be because the program focuses on neurogenic bladder management and urodynamic study. Individuals with complete SCI have more difficulty managing the bladder drainage method [22]. Four definitions of MetS given by the IDF, AHA/NHLBI, NCEP-ATP III, and WHO criteria are commonly used in studies and clinical settings.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Metabolic Syndrome in Individuals With Chronic Spinal Cord Injury

et al. 2022

View full text Add to dashboard Cite

Objective To assess the validity of different anthropometric measures (waist circumference [WC], body mass index [BMI], and percentage body fat) in diagnosing metabolic syndrome (MetS) among individuals with SCI and provides preliminary data for future studies in setting obesity cutoff values for this population.Methods This was a single-center retrospective cohort study. Sample information, anthropometric measures, and MetS variables of 157 individuals with chronic SCI were collected from an electronic medical records database.Results Increasing age (odds ratio [OR]=1.040, p=0.016) and lower neurological level of injury (OR=1.059, p=0.046) were risk factors for MetS. Male BMI (r=0.380, p<0.001) and male WC (r=0.346, p<0.001) were positively correlated with the number of MetS subfactors. Individuals with non-obese WC, excluding central obesity, were associated with having no MetS subfactors (p=0.005), and individuals with obese WC were associated with one or more subfactors (p=0.005). BMI was associated with MetS diagnosis (area under the curve=0.765, p<0.001), with the calculated cutoff value for BMI being 22.8 kg/m2.Conclusion This study calls for a stricter BMI cutoff for individuals with SCI in diagnosing MetS and warrants a large population-based study to define central obesity according to sex and ethnicity.

show abstract

Section: Discussionmentioning

confidence: 99%

Factors Affecting Metabolic Syndrome in Individuals With Chronic Spinal Cord Injury

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Some studies disregarded the course of the disease (18); other studies did not distinguish between suprasacral and subsacral injuries (8,9), or between complete and incomplete injuries (2,5,6,8,19). A retrospective study (20) compared urodynamics between suprasacral complete and incomplete SCI in 131 patients. The results showed that DO accounted for 30.6% of complete SCI, 41.3% were with incomplete SCI; low BC accounted for 54.1% of complete SCI, 56.5% of incomplete SCI, and bladder feeling absent accounted for 76.5% of complete SCI.…”

Section: Findings In the Context Of Existing Evidencementioning

confidence: 99%

Urodynamic findings in patients with complete and incomplete suprasacral spinal cord injury at different stages after injury

Lu¹,

Cheng²,

Lin³

et al. 2021

Ann Palliat Med

View full text Add to dashboard Cite

Background: Urodynamics is the gold standard for evaluating the function of neurogenic bladder after spinal cord injury (SCI), but there are few studies on urodynamics in patients with complete and incomplete suprasacral SCI in different periods.There is a lack of sufficient evidence for the timing of the first urodynamic examination. Methods:The urodynamic results of 101 patients with complete and incomplete suprasacral SCI at 0-30, 31-60, 61-90, and 91-365 days after injury were included. Urodynamic parameters were compared between 0-90 and 91-365 days, including detrusor overactivity (DO), bladder compliance (BC), bladderfilling sensation, maximum cystometric capacity (MCC), detrusor external sphincter dyssynergia (DESD), maximum urinary flow rate (Q max ), detrusor pressure at a maximum urinary flow rate (P detQmax ).Results: There were 45 patients with complete SCI and 56 with incomplete SCI. With the course's prolongation, the proportion of DO increased gradually in patients with complete and incomplete injury within 90 days, while the MCC gradually decreased. The bladder-filling sensation of patients with complete SCI is mostly absent. Significant differences were found between 0-90 and 91-365 days in terms of DO, DESD, MCC, Q max , and P detQmax incomplete SCI, and DESD in incomplete SCI, and between complete and incomplete SCI in terms of DO, bladder filling sensation, MCC, Q max , P detQmax at 0-90 days after injury, and bladder filling sensation at 91-365 days after injury.Conclusions: Urodynamic examination should be conducted as soon as possible after injury in patients with incomplete suprasacral SCI, while for those with complete injury, the urodynamic examination can be initiated following clinical symptoms within 90 days after injury.

show abstract

“…They found no significant difference between the patients with complete and incomplete injuries in terms of age, sex, disease duration, detrusor hyperactivity and compliance; the bladder drainage method was found to show a significant change according to the severity of the lesion. They concluded that the urodynamic examination is required in each patient with SCI as the severity of the lesion is not sufficient to determine the bladder type, and patients with complete and incomplete injuries should be monitored with the same sensitivity in terms of complications [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…In general, suprasacral lesions lead to detrusor overactivity and detrusor sphincter dyssynergia, whereby sacral SCI results in detrusor areflexia (and often increased bladder compliance) related to lower motor neuron lesions [ 17 ]. In a retrospective review of 316 patient records, Weld and Dmochowski tried to investigate the associations between the radiographically determined level of injury and urodynamic findings.…”

Section: Discussionmentioning

confidence: 99%

Association between detrusor muscle function and level of the spinal cord injury

2018

CEJU

View full text Add to dashboard Cite

IntroductionTraumatic spinal cord injury (TSCI) is among the most severe disabilities with an estimation of 2.5 million people affected worldwide. The purpose of this study was to investigate the association between detrusor muscle function and the level of the spinal cord injury.Material and methodsAll patients with TSCI who underwent urodynamic evaluation at the Brain and Spinal Injury Research Center (BASIR) of Imam Khomeini hospital complex from March 2014 to March 2016 were retrospectively entered in this cross-sectional study. The patients were divided into three groups of suprasacral (C1-T12), sacral (L1-S5) and combined (both suprasacral and sacral) lesions.ResultsMedical records of 117 patients with spinal cord injury were reviewed. The mean age of the patients was 35.64 (±12.01) years. 86 patients (73.5%) were male and 31 female (26.5%). While 66 (56.4%), 28 (23.9%) and 19 (16.2%) patients had suprasacral, sacral, and combined suprasacral and sacral lesions, respectively. The relationship between the level of injury and emptying disorder (P = 0.50), storage disease (P = 0.20), first desire to void (P = 0.82), hypocompliance (P = 0.95), voided urine volume (P = 0.38) and residual urine volume (P = 0.76) were not significant. We found a significant association between the level of injury and the type of detrusor function (P = 0.019).ConclusionsOur study showed an association between detrusor muscle function and level of the spinal cord injury. However, there was no exact relationship between the level and the completeness of the spinal cord injury with the urodynamic characteristics.

show abstract

An unresolved relationship: the relationship between lesion severity and neurogenic bladder in patients with spinal cord injury

Cited by 6 publications

References 32 publications

Factors Affecting Metabolic Syndrome in Individuals With Chronic Spinal Cord Injury

Factors Affecting Metabolic Syndrome in Individuals With Chronic Spinal Cord Injury

Urodynamic findings in patients with complete and incomplete suprasacral spinal cord injury at different stages after injury

Association between detrusor muscle function and level of the spinal cord injury

Contact Info

Product

Resources

About