Neurogenic Bladder and Urodynamic Outcomes in Patients with Spinal Cord Myelopathy

New, Peter W; Dillon, Louise

doi:10.1310/sci2103-250

Cited by 9 publications

(7 citation statements)

References 24 publications

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“…The electronic search of MEDLINE and Embase identified 6 potentially relevant publications. [13][14][15][16][17][18] After reviewing these articles in detail, we found that none met the inclusion criteria (Figure 1). As a result, the publications included in this review were all identified from our libraries.…”

Section: Literature Searchmentioning

confidence: 99%

Important Clinical Rehabilitation Principles Unique to People with Non-traumatic Spinal Cord Dysfunction

New

Eriks‐Hoogland

Scivoletto

et al. 2017

Topics in Spinal Cord Injury Rehabilitation

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Non-traumatic spinal cord dysfunction (SCDys) is caused by a large range of heterogeneous etiologies. Although most aspects of rehabilitation for traumatic spinal cord injury and SCDys are the same, people with SCDys have some unique rehabilitation issues. This article presents an overview of important clinical rehabilitation principles unique to SCDys. Electronic literature search conducted (January 2017) using MEDLINE and Embase (1990-2016) databases for publications regarding SCDys. The focus of the literature search was on identifying publications that present suggestions regarding the clinical rehabilitation of SCDys. The electronic search of MEDLINE and Embase identified no relevant publications, and the publications included were from the authors' libraries. A number of important clinical rehabilitation principles unique to people with SCDys were identified, including classification issues, general rehabilitation issues, etiology-specific issues, and a role for the rehabilitation physician as a diagnostic clinician. The classification issues were regarding the etiology of SCDys and the International Standards for Neurological Classification of Spinal Cord Injury. The general rehabilitation issues were predicting survival, improvement, and rehabilitation outcomes; admission to spinal rehabilitation units, including selection decision issues; participation in rehabilitation; and secondary health conditions. The etiology-specific issues were for SCDys due to spinal cord degeneration, tumors, and infections. Although there are special considerations regarding the rehabilitation of people with SCDys, such as the potential for progression of the underlying condition, functional improvement is typically significant with adequate planning of rehabilitation programs and special attention regarding the clinical condition of patients with SCDys.

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Section: Literature Searchmentioning

confidence: 99%

Important Clinical Rehabilitation Principles Unique to People with Non-traumatic Spinal Cord Dysfunction

New

Eriks‐Hoogland

Scivoletto

et al. 2017

Topics in Spinal Cord Injury Rehabilitation

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“…A previous study in a cohort of patients with nontraumatic spinal cord myelopathy showed that 46% voided guided by sensations of bladder filling [ 22 ]. Another study with ambulatory urodynamics in patients with SCL described that 73% reported bladder sensation daily, and 41% experienced DOA [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Sensations Reported During Urodynamic Bladder Filling in Spinal Cord Injury Patients Give Additional Important Information

Wyndaele

2022

Int Neurourol J

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Purpose: This study investigated the sensations reported during filling cystometry in patients with spinal cord lesions (SCLs) of different levels and completeness.Methods: In this retrospective cohort study, information was gathered on patients’ age and sex, cause of SCL, American Spinal Injury Association Impairment Scale (AIS), and lower urinary tract-related sensations in daily life. Filling cystometry (videourodynamics) was performed following the International Continence Society Good Urodynamic Practice Guidelines. In addition to bladder filling sensations (first sensation of bladder filling, first desire to void, strong desire to void), other sensations, such as detrusor overactivity related sensation and pain, were noted.Results: In total, 170 patients were included (age, 45±17 years; 114 males and 56 females, 92 with complete and 78 with incomplete SCL). The test was done 6±4 years post-SCL. Sensation was reported by 57% of all patients. Half of the patients with complete SCL (46 of 92) had sensation, while 36% of those with incomplete SCL (28 of 78) reported no sensation. Bladder awareness was not predictable by the AIS. The filling sensations reported were equivalent to those given in the terminology of ICS. Pain was seldom present (6%, 10 of 170), and detrusor overactivity contraction was felt by 45 of 78 (58%). Very few patients used sensory information for bladder management at home.Conclusions: After SCL, most patients retained the ability to be aware of the lower urinary tract, and were assessable and gradable during urodynamic testing. The filling sensations were not different from those described in healthy individuals, but the number and sequence of the sensations were altered in a minority of patients. Pain and a sensation of unstable contractions gave additional important information. As different sensations relate to different spinal afferent pathways, the sensory evaluation during cystometry provided additional important information on the spinal cord’s condition.

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“…Neurogenic detrusor overactivity (NDO) is the most common presentation of neurogenic bladder dysfunction following SCI. 1 NDO results in spontaneous reflex bladder contractions at lower bladder volumes, causing urinary incontinence, feelings of urgency, and low bladder capacity. Approximately two thirds of individuals with SCI have upper motor neuron injuries 2 that are associated with bladder reflexes and the distribution depends on spinal level.…”

Section: Introductionmentioning

confidence: 99%

At-home genital nerve stimulation for individuals with SCI and neurogenic detrusor overactivity: A pilot feasibility study

Bourbeau

Gustafson

Brose

2018

The Journal of Spinal Cord Medicine

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Neurogenic Bladder and Urodynamic Outcomes in Patients with Spinal Cord Myelopathy

Abstract: Future studies should ascertain whether our screening protocol is appropriate, and a longer-term follow-up should examine the relationship between UD recommendations and prevention of complications.

Cited by 9 publications

References 24 publications

Important Clinical Rehabilitation Principles Unique to People with Non-traumatic Spinal Cord Dysfunction

Important Clinical Rehabilitation Principles Unique to People with Non-traumatic Spinal Cord Dysfunction

Sensations Reported During Urodynamic Bladder Filling in Spinal Cord Injury Patients Give Additional Important Information

At-home genital nerve stimulation for individuals with SCI and neurogenic detrusor overactivity: A pilot feasibility study

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