Risk Factors of Urinary Calculus Formation for Spinal Cord Injury: 128 Case Report
- VernacularTitle:脊髓损伤患者泌尿系结石形成高危因素分析：128例报道
- Author:
Guang FU
;
Huafang JING
;
Juan WU
;
Dong LI
;
Yanhe JU
;
Wenli LIANG
;
Zongsheng XIONG
;
Limin LIAO
- Publication Type:Journal Article
- Keywords:
spinal cord injury, calculus, urinary tract infection, video urodynamics
- From:
Chinese Journal of Rehabilitation Theory and Practice
2010;16(12):1124-1126
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study risk factors of urinary calculus formation in spinal cord injured patients. MethodsThe clinical data of 128 patients with spinal cord injury following urinary calculi were retrospectively reviewed.ResultsAmong the 128 cases, there were 32 cases receiving bladder stoma; 34 cases, regular replacement of indwelling catheter; 12 cases, intermittent catheterization; 19 cases, triggered reflex voiding; 11 cases, voiding by abdominal straining; 20 cases, condom catheters with urine collection devices. 120 cases presented with urinary tract infection, and 11 cases presented serum calcium increase. Video urodynamic suggested detrusor areflexia in 39 cases, detrusor overactivity in 63 cases, detrusor external sphincter dyssynergia in 41 cases, detrusor bladder neck dyssynergia in 11 cases, external urethral sphincter overactivity in 27 cases, and urethral sphincter deficiency in 11 cases. The pathology of several physiological conditions coexisted in some patients.ConclusionBladder management after spinal cord injury have a major impact on urinary stones formation. Low urinary tract infection, detrusor-urethral sphincter dyssynergia and other lower urinary tract dysfunction, long-term indwelling urinary catheter and cystostomy were main risk factors for urinary calculus formation. The abnormal calcium metabolism after spinal cord injury may be a risk factor for calculus formation.
