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Systematic Review of urodynamic evaluation in patients after spinal cord injury
 
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1
Rehabilitation Clinic, Orthopedic-Rehabilitation Hospital in Poznan, Poland
 
2
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 world-widely acknowledged method of diagnosing dysfunctions in the lower urinary tract is urodynamic study (UDS), however many of patients with adult neurogenic lower urinary tract dysfunction (ANLUTD) have not undergone this test or have been examined a couple of years after the SCI. Recent studies provide evidence of significance UDS in precise diagnosis and monitoring of ANLUTD. Aim: Aim of this article is to analyze the value of UDS in the management of neurogenic bladder in patients after SCI. Material and Methods: Research was performed on the databases Pubmed and Web of Science. Results: Out of 2012 articles found by performing the above research procedure, 9 matched the inclusions criteria and were analyzed. Discussion: One study showed significant differences in thouse groups regarding maximum cystometric capacity and volume at first involuntary contracion. Other authors proved signifcant differences in bladder function among groups with different C and L level of injuries. In follow up patients with maximum cystometric (MCC) capacity <200 ml experienced significantly more often (p=0.019) UUT deterioration than those with MCC ≥ 200 ml. In the study with annual UDS, 47.9% of the patients needed at least one type of intervention (in 82.6% of cases - urological interventions) basing on their UDS. None of those patients complained of new urological symptoms since their previous. Conclusions: UDS should be performed as a standard examination in patients after SCI. Regular follow up UDS should be performed for prevention UUT deterioration.
ISSN:2300-0767
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