Intermittent catheterisation: follow-up studies

Stover, Samuel L.; Lloyd, L. Keith; Nepomuceno, C; Gale, Leslie L.

doi:10.1038/sc.1977.7

Cited by 9 publications

(2 citation statements)

References 13 publications

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“…Based on his clinical experience of following up his patients over many years, Stover also began to document the unusual skin changes that occurred in patients with SCI, for example, dermal fibrosis, and he researched their prevalence and etiology [12‐15]. With funding from the UAB SCIMS, the Medical Rehabilitation, Research and Training Center, and URRC, Stover and his colleagues conducted a number of studies over the years and documented how best to monitor urologic function after SCI, and how best to manage it [16‐36]. His research team published research articles by using the data from the NSCISC on etiology [37‐42], demographics [43‐47], causes of death [48‐54], and costs of SCI [55‐57].…”

Section: A Broad Research Agendamentioning

confidence: 99%

Dr. Samuel Stover: Promoting Health and Participation Through Leadership in Spinal Cord Injury Medicine

McLain¹,

Akins²,

Richards³

et al. 2013

PM&R

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Section: A Broad Research Agendamentioning

confidence: 99%

Dr. Samuel Stover: Promoting Health and Participation Through Leadership in Spinal Cord Injury Medicine

McLain¹,

Akins²,

Richards³

et al. 2013

PM&R

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“…En revanche, un certain nombre de patients sont suivis avec un résidu chronique qui ne semble pas avoir de retentissement significatif sur le haut appareil. À l'inverse, un certain nombre de patients peut développer une urétéro-hydronéphrose sans résidu postmictionnel [124,125].…”

Section: Résidu Postmictionnelunclassified

Suivi des vessies neurologiques du blessé médullaire et du patient porteur d'une myéloméningocèle Revue de la littérature et recommandations pratiques de suivi

Ruffion¹,

Sèze

Denys

et al. 2006

Pelv Perineol

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L'évolution des patients blessés médullaires (BM) ou porteurs d'une myéloméningocèle (MM) s'est profondément transformée au cours des soixante derniè-res années. Leur espérance de vie s'est considérablement accrue, jusqu'à approcher celle de la population générale. La pathologie urologique reste cependant une des plus grandes pourvoyeuses de morbi-mortalité dans cette population de patients. Dans un premier temps, nous avons souhaité, à travers une revue de la littérature, réactualiser les données épidémiologiques concernant les différentes facettes des pathologies urinaires susceptibles d'être observées chez ces patients. Ce travail s'est accompagné d'une réflexion sur la validité et la pertinence des examens complémentaires proposés dans le diagnostic de ces pathologies. À partir de ces données, nous avons dressé un cahier des charges du suivi neurourologique de ces patients.Mots clés : Vessie neurologique -Blessé médullaire -Myéloméningocèle -Pronostic uronéphrologique Care of neurogenic bladder in spinal cord injured patients and patients with myelomeningocele: Review of the literature and therapeutic recommendationsAbstract: The clinical course of spinal cord injured patients and those with myelomeningocele (MM) has radically changed over the last 60 years. Life expectancy has been significantly extended and is approaching that of the general population. Urologic disease remains, nonetheless, one of the most predictive factors of morbidity and mortality in this patient population. As a first step, we carried out a literature review in an effort to update the epidemiological data concerning the various aspects of urinary disorders observed in these patients. This paper also discusses the validity and appropriateness of additional diagnostic screening procedures for these disorders. Based on this data, we have created clinical guidelines for the neurological and urologic care of these patients.

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Non‐operative management of the urinary tract in spinal cord injury

Dmochowski

Ganabathi

Leach

1995

Neurourology and Urodynamics

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Various options exist for the management of the lower urinary tract in chronic spinal cord injury. These options include chronic indwelling catheterization, urethral sphincterotomy, and intermittent catheterization supplemented with anticholinergic agents. Sixty-four spinal cord injured patients, treated with intermittent catheterization and anticholinergic therapy, were evaluated for long-term efficacy in maintaining upper tract status and preservation or improvement in continence. Complications of therapy were also evaluated. Therapy was based upon initial urodynamic evaluation followed by limited subsequent evaluation of the urinary tract. Mean follow-up was 54 months. Only 1 patient developed hydronephrosis. Fifty-nine patients either became continent or experienced improved continence on therapy. Eight patients required surgical procedures either to increase outlet resistance (2) or to decrease intravesical pressures (6). The most common complication of therapy was urinary tract infection. Thirty-nine infections occurred in 23 patients, 16 of which were febrile. Fifteen patients were non-compliant with treatment recommendations. The only factor related to therapeutic complications which reached statistical significance was non-compliance with therapy. The combined use of intermittent catheterization and anticholinergic agents provides an effective means to prevent hydronephrosis and establish continence in chronic spinal injury.

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Intermittent catheterisation: follow-up studies

Cited by 9 publications

References 13 publications

Dr. Samuel Stover: Promoting Health and Participation Through Leadership in Spinal Cord Injury Medicine

Dr. Samuel Stover: Promoting Health and Participation Through Leadership in Spinal Cord Injury Medicine

Suivi des vessies neurologiques du blessé médullaire et du patient porteur d'une myéloméningocèle Revue de la littérature et recommandations pratiques de suivi

Non‐operative management of the urinary tract in spinal cord injury

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