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Relationship between urodynamic parameters and level of spinal cord injury
 
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Rehabilitation Clinic, Orthopedic-Rehabilitation Hospital in Poznan, Poland
 
 
Submission date: 2021-08-13
 
 
Acceptance date: 2021-09-07
 
 
Publication date: 2025-11-26
 
 
Corresponding author
Anna Barnaś   

Rehabilitation Clinic, Orthopedic-Rehabilitation Hospital in Poznan, 28 czerwca 1956r., 61-545, Poznań, Poland
 
 
Issue Rehabil. Orthop. Neurophysiol. Sport Promot. 2021;37
 
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ABSTRACT
Introduction: The diagnosis of adult neurogenic lower urinary tract dysfunction (ANLUTD) is commonly based on neurological, subjective examination. Clinical findings might not correlate with the specific bladder dysfunction. Thus the clinical-based diagnosis of ANLUTD may not meet the needs of patient condition, which requires a dedicated therapy. Urodynamic study reveals the differences between the levels of spinal cord injury. Aim: The aim of the study is to investigate the relationship between the level of SCI and the urodynamic parameters. Methods: The purpose of this study is to investigate if there is a relationship between the level of SCI and the parameters of urodynamic study. For that an analysis of objective data was performed: results of the urodynamic study: cystometry, bladder storage phase, voiding phase, medical history of 54 patients with incomplete cervical, thoracic or lumbar SCI, who were admitted to the Neurological Rehabilitation Ward in years 2010-2018. Results: Patients with cervical SCI experience worse bladder compliance than patients with lumbar SCI (p<0.001). The urethral sensation is significantly more often preserved after the lumbar SCI than in cervical SCI (p<0.001). Conclusion: The level of SCI strongly determines urological dysfunctions. Urodynamic study should be considered essential in neurogenic bladder management. Bladder compliance is higher in L and Th groups than in C group. Follow-up urodynamic study would deliver more information about the condition of neurogenic bladder in patients after rehabilitation.
ISSN:2300-0767
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