Urinary tract complications in spinal cord injury patients.
The characteristics of urinary tract complications in a series of 202 spinal cord injury patients are described. Repeated urinary infection was the most usual problem. Upper urinary tract changes were detected in 61 patients (30%). 56 patients (28%) underwent bladder outlet surgery for problems with voiding. Urinary diversion was done to 8 patients (4%), and 12 (6%) were treated with permanent indwelling catheter or self-catheterization. The high incidence of bladder stones (29%) and urethral complications (14%) was regarded as due to indwelling catheterization at the early stage post-injury. Despite the high urinary tract morbidity, only one patient has so far died of renal failure.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D013119:Spinal Cord Injuries / Q000150:complications*; D001744:Urinary Bladder Calculi / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000601:surgery*; D014547:Urinary Diversion; D014549:Urinary Incontinence / Q000601:surgery; D014552:Urinary Tract Infections / Q000601:surgery; D014570:Urologic Diseases / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000601:surgery; D014719:Vesicovaginal Fistula / Q000601:surgery