scholarly journals Up-to-date review reporting the technological details of devices used in the management of neurogenic bladder in post spinal cord injury patients

2015 ◽  
Vol 10 (2) ◽  
pp. 102-106
Author(s):  
Aura SPINU ◽  
◽  
Cristina DAIA ◽  
Monica HARAS ◽  
Aurelian ANGHELESCU ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Gold Standard ◽  
Lower Urinary Tract ◽  
The Past ◽  
Cord Injury ◽  
Lower Urinary

In the past years, a major cause of invalidity and death in post spinal cord injury (SCI) patients with neurogenic bladder (NB) was the renal failure. Since our ability to manage the dysfunction of NB has improved, the morbidity/mortality in these individuals significantly decreased. The aims in NB management are to protect the upper and lower urinary tract and to improve the quality of life (QoL) of these individuals. The insertion and removal of the catheter many times a day, to empty the bladder is called intermittent catheterization and it is considered the „gold standard“ in the NB management. Nowadays, there are available many types of catheters, materials and techniques: non-coated catheters, gel-coated catheters, hydrophilic catheters, glycerine based catheters. The choice of a catheter should be made on an individual analyse, according to gender, age, level of injury, functional status, urethral sensibility, or the circumstances the IC is needed (so, a patient may need a type of catheter at home and another one outside).

scholarly journals Bladder-emptying methods, neurogenic lower urinary tract dysfunction and impact on quality of life in people with long-term spinal cord injury

2016 ◽  
Vol 40 (1) ◽  
pp. 43-53 ◽  
Author(s):  
Jacinthe J. E. Adriaansen ◽  
Floris W. A. van Asbeck ◽  
Marga Tepper ◽  
Willemijn X. Faber ◽  
Johanna M. A. Visser-Meily ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Lower Urinary Tract Dysfunction ◽  
Cord Injury ◽  
Lower Urinary

scholarly journals Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey

2021 ◽  
Vol 67 (2) ◽  
pp. 225-232
Author(s):  
Yeşim Akkoç ◽  
Murat Ersöz ◽  
Ece Çınar ◽  
Haydar Gök
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Urinary Tract ◽  
Neurogenic Bladder ◽  
Lower Urinary Tract ◽  
Current Practice ◽  
Physical Medicine ◽  
Physical Medicine And Rehabilitation ◽  
Cord Injury ◽  
Lower Urinary

Objectives: This study aims to determine the current trends in evaluation and management of neurogenic bladder secondary to spinal cord injury (SCI) among Physical Medicine and Rehabilitation (PMR) specialists in Turkey. Materials and methods: Between September 2013 and November 2013, a total of 100 PMR specialists from 18 different provinces of Turkey were included in the study. A 23-item questionnaire was developed to evaluate the current practice on assessment and follow-up of upper and lower urinary tract dysfunction. The questionnaire was delivered via e-mail to the participants routinely providing care for patients with SCI and all responses were obtained electronically. Results: For surveillance of the upper urinary tract dysfunction, 93% of the participants preferred ultrasonography. A total of 59% of the participants favored an annual assessment and 36% preferred six-month intervals. Multichannel urodynamics, voiding cystourethrography combined with urodynamics, and video-urodynamics were preferred by 62%, 25%, and 10% of the participants, respectively for surveillance of the lower urinary tract. Urodynamic evaluation was performed annually by 51% of the participants. In patients with detrusor overactivity unresponsive to the combination of intermittent catheterization (IC) and anticholinergic agents, 66% preferred to increase the dose and 22% preferred to switch to another medication. For treatment of areflexic bladder, 78% preferred IC and 12% preferred the Credé' or Valsalva maneuvers. Treatment of asymptomatic bacteriuria was not favored in patients on IC and indwelling urethral catheter by 33% and 44% of the participants respectively. Totally, 84% participants preferred to administer antibiotics for 10 to 14 days for the treatment of symptomatic urinary tract infection. Conclusion: Our study results indicate that there are some differences in the current practice of PMR specialists for surveillance and management of SCI patients with neurogenic bladder. These results also emphasize the need for development of guidelines and implementation of continuous medical education activities in this field.

Health-related quality of life of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury

Urology ◽  
2005 ◽  
Vol 65 (2) ◽  
pp. 306-310 ◽  
Author(s):  
Seung-June Oh ◽  
Ja Hyeon Ku ◽  
Hwang Gyun Jeon ◽  
Hyung-Ik Shin ◽  
Nam-Jong Paik ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Clean Intermittent Catheterization ◽  
Health Related Quality ◽  
Cord Injury ◽  
Related Quality ◽  
Health Related

scholarly journals Identifying and classifying quality of life tools for neurogenic bladder function after spinal cord injury: A systematic review

2016 ◽  
Vol 40 (5) ◽  
pp. 505-529 ◽  
Author(s):  
Krista L. Best ◽  
Karen Ethans ◽  
B. Catharine Craven ◽  
Luc Noreau ◽  
Sander L. Hitzig
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Bladder Function ◽  
Cord Injury

scholarly journals Autologous Transplantation of Adipose-Derived Stem Cells to Treat Acute Spinal Cord Injury: Evaluation of Clinical Signs, Mental Signs, and Quality of Life

2019 ◽  
Vol 7 (24) ◽  
pp. 4399-4405
Author(s):  
Nguyen Le Bao Tien ◽  
Nguyen Dinh Hoa ◽  
Vo Van Thanh ◽  
Nguyen Van Thach ◽  
Vo Truong Nhu Ngoc ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Stem Cells ◽  
Spinal Cord Injury ◽  
Neurogenic Bladder ◽  
Clinical Signs ◽  
Acute Spinal Cord Injury ◽  
Adipose Derived Stem Cells ◽  
Cord Injury

BACKGROUD: Spinal cord injury (SCI) is damage that can cause a temporary or permanent change in spinal cord functions AIM: This work evaluates clinical signs, mental signs, and quality of life (QoL) after autologous adipose-derived stem cells (ADSCs) transplantation to treat acute spinal cord injury (SCI). MATERIAL AND METHODS: In this study, 47 SCI patients were recruited and divided into two groups: intervention and control. ADSCs were isolated and cultured under the cell culture quality control procedure. All patients in both groups underwent neurosurgery with or without ADSC transplantation. The recovery regarding neurological muscle, QoL, neurogenic bladder, and mental improvement was assessed after transplantation. RESULTS: All patients had improved in terms of motor function, bladder function, and daily living. No patients reported any side effect. MRI imaging showed significant changes in the lesion length of the spinal canal and the thickening of the spinal cord. Mental improvement was highest at six months after transplantation and lowest at one month after transplantation. The proportion of patients whose quality of life improved after treatment was 100%, while 80% of patients were satisfied with treatment outcomes. CONCLUSIONS: Thus, our data suggested that ADSCs transplantation was safe and effective for the treatment of SCI patients. Neurological muscle and neurogenic bladder were improved significantly after transplantation.

scholarly journals Long term outcome of functional independence and quality of life after traumatic SCI in Germany

Spinal Cord ◽  
2021 ◽  
Author(s):  
Florian Möller ◽  
Rüdiger Rupp ◽  
Norbert Weidner ◽  
Christoph Gutenbrunner ◽  
Yorck B. Kalke ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Functional Independence ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Cord Injury ◽  
Over Time

Abstract Study design Multicenter observational study. Objective To describe the long-term outcome of functional independence and quality of life (QoL) for individuals with traumatic and ischemic SCI beyond the first year after injury. Setting A multicenter study in Germany. Methods Participants of the European multicenter study about spinal cord injury (EMSCI) of three German SCI centers were included and followed over time by the German spinal cord injury cohort study (GerSCI). Individuals’ most recent spinal cord independence measure (SCIM) scores assessed by a clinician were followed up by a self-report (SCIM-SR) and correlated to selected items of the WHO short survey of quality of life (WHO-QoL-BREF). Results Data for 359 individuals were obtained. The average time passed the last clinical SCIM examination was 81.47 (SD 51.70) months. In total, 187 of the 359 received questionnaires contained a completely evaluable SCIM-SR. SCIM scores remained stable with the exception of reported management of bladder and bowel resulting in a slight decrease of SCIM-SR of −2.45 points (SD 16.81). SCIM-SR scores showed a significant correlation with the selected items of the WHO-QoL-BREF (p < 0.01) with moderate to strong influence. Conclusion SCIM score stability over time suggests a successful transfer of acquired independence skills obtained during primary rehabilitation into the community setting paralleled by positively related QoL measurements but bladder and bowel management may need special attention.

The impact of COVID-19 on community integration, quality of life, depression and anxiety in people with chronic spinal cord injury

2021 ◽  
pp. 1-10
Author(s):  
Alejandro García-Rudolph ◽  
Joan Saurí ◽  
Jaume López Carballo ◽  
Blanca Cegarra ◽  
Mark Andrew Wright ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Community Integration ◽  
Depression And Anxiety ◽  
Chronic Spinal Cord Injury ◽  
Cord Injury ◽  
The Impact
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