The urological management of spinal cord damaged patients: a clinical algorithm

Gardner, B P; Parsons, K. F.; Machin, David; Galloway, A.; Krishnan, K R

doi:10.1038/sc.1986.18

Cited by 8 publications

(2 citation statements)

References 11 publications

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“…Small and single calculi are more common in patients with spinal cord injury than multiple ones and the radiolucency rate for them is 4 percent in comparison with 10 percent in general population. Common complications of such calculi are obstruction, infection and loss of renal function [1][2][3][4][5].…”

Section: Mini Reviewmentioning

confidence: 99%

Urinary Tract Calculi in the Patients with Spinal Cord Injuries

Saberi

2019

JOJUN

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Section: Mini Reviewmentioning

confidence: 99%

Urinary Tract Calculi in the Patients with Spinal Cord Injuries

Saberi

2019

JOJUN

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“…Three months prophylaxis has been recommended if infection persists after treatment of any established infection and other conditions which would promote recurrent infections eg calculi or bladder out¯ow obstruction. 78 The threat of emerging resistant bacteria, risk of unwanted side e ects of antibiotics, unnecessary expense and the potential risk to other patients from cross-infection with multiply resistant bacteria are all good reasons why the use of antibiotics should be used with extreme caution in patients with spinal cord injury. 79 …”

Section: Prophylactic Antibioticsmentioning

confidence: 99%

Prevention of urinary tract infection in patients with spinal cord injury – a microbiological review

Galloway

1997

Spinal Cord

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The importance of urinary tract infection (UTI) in patients with spinal cord injury cannot be understated. Many patients with signi®cant bacteriuria are considered to be colonised rather than infected, and treatment should be reserved for those with clinical symptoms or other signs of infection. 1 Published research on the prevention and management of UTI in patients with spinal cord injury often has limitations due to di erences in de®nitions of UTI, studies on groups using di erent urinary drainage appliances, the mixture of newly injured and longstanding injured patients and studies being carried out predominantly on male patients. 2 The complications due to UTI and the di culties in treating established infection mean that prevention is essential. Close urological follow-up is crucial in ensuring that adequate bladder drainage is achieved avoiding the use of long term indwelling urinary catheters if at all possible. 3 For those patients who require long term urinary appliances patient education and strict attention to hygiene and catheter care policies is important. The role of antiseptic/ antibiotics is strictly limited in preventing UTI in patients with spinal cord injury and may even be harmful. Further study into which groups of patients may bene®t from the use of antiseptics or antibiotics is urgently required. Continued research into di erent methods of prevention eg by vaccination, immunotherapy, the use of receptor analogues and bladder interference should also be encouraged.

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Spinal Cord Injury and Infertility

Jequier

2000

Male Infertility

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The urological management of spinal cord damaged patients: a clinical algorithm

Cited by 8 publications

References 11 publications

Urinary Tract Calculi in the Patients with Spinal Cord Injuries

Urinary Tract Calculi in the Patients with Spinal Cord Injuries

Prevention of urinary tract infection in patients with spinal cord injury – a microbiological review

Spinal Cord Injury and Infertility

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