Neurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-up

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dc.contributor.authorYildiz, N.
dc.contributor.authorAkkoc, Y.
dc.contributor.authorErhan, B.
dc.contributor.authorGunduz, B.
dc.contributor.authorYilmaz, B.
dc.contributor.authorAlaca, R.
dc.contributor.authorGok, H.
dc.contributor.authorKoklu, K.
dc.contributor.authorErsoz, M.
dc.contributor.authorCinar, E.
dc.contributor.authorKarapolat, H.
dc.contributor.authorCatalbas, N.
dc.contributor.authorBardak, A. N.
dc.contributor.authorTurna, I.
dc.contributor.authorDemir, Y.
dc.contributor.authorGunes, S.
dc.contributor.authorAlemdaroglu, E.
dc.contributor.authorTunc, H.
dc.date.accessioned2019-10-27T22:14:41Z
dc.date.available2019-10-27T22:14:41Z
dc.date.issued2014
dc.departmentEge Üniversitesien_US
dc.description.abstractStudy design: Multi-center, cross-sectional study. Objectives: Our aim was to evaluate the treatment methods and follow-up of neurogenic bladder in patients with traumatic spinal cord injury retrospectively using a questionnaire. Setting: Turkey. Methods: Three hundred and thirty-seven patients who had spinal cord injury for at least 2 years were enrolled from six centers in the neurogenic bladder study group. They were asked to fill-out a questionnaire about treatments they received and techniques they used for bladder management. Results: The study included 246 male and 91 female patients with a mean age of 42 +/- 14 years. Intermittent catheterization (IC) was performed in 77.9% of the patients, 3.8% had indwelling catheters, 13.8% had normal spontaneous micturition, 2.6% performed voiding maneuvers, 1.3% used diapers and 0.6% used condom catheters. No gender difference was found regarding the techniques used in bladder rehabilitation (P > 0.05). Overall, 63.2% of patients used anticholinergic drugs; anticholinergic drug use was similar between genders (P > 0.05). The most common anticholinergic drug used was oxybutynin (40.3%), followed by trospium (32.6%), tolterodine (19.3%) darifenacin (3.3%), propiverine (3.3%) and solifenacin (1.1%). The specialties of the physicians who first prescribed the anticholinergic drug were physiatrists (76.2%), urologists (22.1%) and neurologists (1.7%). Only four patients had previously received injections of botulinum-toxin-A into the detrusor muscle and three of them stated that their symptoms showed improvement. Most of the patients (77%) had regular follow-up examinations, including urine cultures, urinary system ultrasound and urodynamic tests, when necessary; the reasons for not having regular control visits were living distant from hospital (15.3%) and monetary problems (7.7%). Of the patients, 42.7% did not experience urinary tract infections (UTI), 36.4% had bacteriuria but no UTI episodes with fever, 15.9% had 1-2 clinical UTI episodes per year and 5% had >= 3 clinical UTIs. The clinical characteristics of patients with and without UTI (at least one symptomatic UTI during 1 year) were similar (P40.05). The frequency of symptomatic UTI was similar in patients using different bladder management techniques (P > 0.05). Conclusion: The most frequently used technique for bladder rehabilitation in patients with SCI was IC (77.9%). In all, 63.2% of patients used anticholinergic drugs, oxybutynin being the most commonly used drug. Also, 77% of patients had regular control visits for neurogenic bladder; 42.7% did not experience any UTIs.en_US
dc.identifier.doi10.1038/sc.2014.41en_US
dc.identifier.endpage467en_US
dc.identifier.issn1362-4393
dc.identifier.issn1476-5624
dc.identifier.issue6en_US
dc.identifier.pmid24732167en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage462en_US
dc.identifier.urihttps://doi.org/10.1038/sc.2014.41
dc.identifier.urihttps://hdl.handle.net/11454/50052
dc.identifier.volume52en_US
dc.identifier.wosWOS:000337233100009en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherNature Publishing Groupen_US
dc.relation.ispartofSpinal Corden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleNeurogenic bladder in patients with traumatic spinal cord injury: treatment and follow-upen_US
dc.typeArticleen_US

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