Surveillance and management of urologic complications after spinal cord injury

World Journal of Urology
Evgeniy KreydinDavid A Ginsberg

Abstract

Neurogenic bladder due to spinal cord injury has significant consequences for patients' health and quality of life. Regular surveillance is required to assess the status of the upper and lower urinary lower urinary tracts and prevent their deterioration. In this review, we examine surveillance techniques in neurogenic bladder, describe common complications of this disease, and address strategies for their management. This work represents the efforts of SIU-ICUD joint consultation on Urologic Management of the Spinal Cord injury. For this specific topic, a workgroup was formed and comprehensive literature search of English language manuscripts regarding neurogenic bladder management was performed using key words of neurogenic bladder. Articles were compiled, and recommendations in the chapter are based on group discussion and follow the Oxford Centre for Evidence-based Medicine system for Levels of Evidence (LOEs) and Grades of Recommendation (GORs). At a minimum, patients should undergo an annual history and physical examination, renal functional testing (e.g., serum creatinine), and upper tract imaging (e.g., renal ultrasonography). The existing evidence does not support the use of other modalities, such as cystoscopy or urody...Continue Reading

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Citations

May 14, 2020·Current Opinion in Urology·Pedro Abreu-MendesCarlos Martins-Silva
Feb 23, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Noritoshi SekidoToyohiko Watanabe
Nov 17, 2020·Topics in Spinal Cord Injury Rehabilitation·James MilliganJeremy Howcroft
Nov 13, 2021·International Urogynecology Journal·Hanieh Salehi-PourmehrHashim Hashim

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