Urologic Complications and Management in 337 Spinal Cord Injured Patients.
- Author:
Jae Gyun SO
1
;
Dong Jin OH
;
Yong Soo LIM
;
Won Hee PARK
;
Hong Bang SHIM
Author Information
1. Department of Urology, Korae Veterans Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Spinal cord injury;
Urologic complication;
Management
- MeSH:
Autonomic Dysreflexia;
Catheters;
Compliance;
Condoms;
Cystostomy;
Epididymitis;
Follow-Up Studies;
Hospitals, Veterans;
Humans;
Intermittent Urethral Catheterization;
Korea;
Male;
Pyelonephritis;
Spinal Cord Injuries;
Spinal Cord*;
Urinary Bladder Calculi;
Urinary Bladder Neoplasms;
Urinary Catheters;
Vesico-Ureteral Reflux
- From:Korean Journal of Urology
1997;38(10):1075-1080
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
337 spinal cord injured patients had been followed up for urologic management in Korea Veterans Hospital. 106 spinal cord injured patients, admitted due to urologic complications from 1990 to 1995, were analyzed. The level of cord injury was cervical in 26, thoracic in 63 and lumbar in 17 patients. The voiding method was suprapubic cystostomy in 32, clean intermittent catheterization in 27, self-voiding in 25, condom catheter in 14, urethral catheter in 6 and others in 2 patients. The common urologic complications were acute pyelonephritis, bladder stone, epididymitis, vesicoureteral reflux, low vesical compliance, autonomic dysreflexia and bladder tumor. Medical treatments for urologic complications were performed for 79 cases (46%) and surgical treatments for 92 cases (54%) We conclude that periodic urologic follow-up will be needed for early detection and management of urologic complications due to spinal cord injury.
