Voiding Dysfunction and Upper Tract Deterioration after Spinal Cord Injury

被引：2

作者：

Lenherr S.M. ^{[1
]}

Cameron A.P. ^{[1
]}

机构：

[1] Department of Urology, Division of Neurourology and Pelvic Reconstructive Surgery, University of Michigan, Ann Arbor, MI, 48109-5330, 1500 E. Medical Center Drive 3875 Taubman Center

来源：

Current Bladder Dysfunction Reports | 2013年 / 8卷 / 4期

关键词：

Catheter; Intermittent catheterization; Nephrolithiasis; Neurogenic bladder; Renal; Spinal cord injury; Urinary tract infection;

D O I：

10.1007/s11884-013-0200-0

中图分类号：

学科分类号：

摘要：

This is a review of the most current literature on the evaluation and management of the urinary system after spinal cord injury (SCI). Spinal cord injury virtually always results in some degree of neurogenic bladder (NGB) dysfunction. While it is widely accepted that NGB dysfunction is associated with an increased risk of urologic complications, consensus regarding screening for those complications, and medical or surgical management is not widely accepted. Regarding screening for complications, an annual renal ultrasound is an appropriate screening test to assess for renal pathology including stones. General guidelines for urodynamic evaluation in patients with SCI were recently published and do not explicitly recommend routine testing. Regarding NGB complications, neurogenic bladders are most prone to urinary tract infections and stones. Medical, equipment and surgical options are all aimed at decreasing the risk of these complications in SCI patients. © 2013 Springer Science+Business Media New York.

引用

页码：289 / 296

页数：7

共 45 条

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