Bladder management in persons with spinal cord lesion.
Spinal Cord
; 42(12): 694-8, 2004 Dec.
Article
de En
| MEDLINE
| ID: mdl-15365573
ABSTRACT
STUDY DESIGN:
Cross-sectional clinical descriptive prevalence study.OBJECTIVE:
To evaluate the methods of self-reported bladder management, the frequency of urinary tract infection (UTI) and subjective disturbance of bladder problems of all those individuals with traumatic spinal cord lesion (SCL) living in Helsinki area.SETTING:
Helsinki, Finland.METHODS:
A total of 152 persons with SCL were found in the Helsinki area (546 000 inhabitants). A structured questionnaire was sent to all subjects and they were invited to a clinical visit.RESULTS:
The final study-group consisted of 129 (85%) subjects. They were defined into seven specific subgroups of bladder management 14 (11%) subjects in the normal voiding group, 15 (12%) in the controlled voiding group, 16 (12%) in the clean intermittent catheterization (CIC) group, 30 (23%) in the mixed group, 31 (24%) in the suprapubic tapping group, 16 (12%) in the compression or straining group and seven (5%) in the catheter or conduit group. The frequency of UTI was highest in the mixed group. The bladder management was a biggest bother to the subjects in the compression or straining group.CONCLUSIONS:
This prevalence study assesses the self-reported bladder management methods in all the persons with traumatic SCL in the Helsinki area. The subjects who used CIC and other methods for bladder management had more problems than others. These subjects might manage better by using either CIC or suprapubic tapping as the only method for bladder emptying.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Traumatismes de la moelle épinière
/
Infections urinaires
/
Vessie neurologique
/
Cathétérisme urinaire
Type d'étude:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limites:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Pays/Région comme sujet:
Europa
Langue:
En
Journal:
Spinal Cord
Sujet du journal:
NEUROLOGIA
Année:
2004
Type de document:
Article
Pays d'affiliation:
Finlande