title: Comparative analysis of urethral catheterization versus suprapubic cystostomy in management of neurogenic bladder in spinal injured patients.
abstract: BACKGROUND
  The objective of this study was, to prospectively and retro respectively evaluate urethral catheterization (UC) versus supra-pubic cystostomy (SPC) in prevention of urinary tract infection (UTI) in patients with spinal cord injury lesion.
  
  
  METHODS
  A total of 125 patients with neurogenic bladder and a mean age of 30 years had UC (n=80) and SPC (n=40) at the Jos University Teaching Hospital (JUTH) between January 1984 and June 2005.
  
  
  RESULTS
  Episodes of UTI were significantly more; UC 65% versus 14% forS PC (P< O 0 5). Urinary tract infection occurred relatively late in the course of admission, in patient who had SPC. Patients in SPC group were significantly satisfied with this management option; 57% versus 8% for UC. Similarly, mortality at 1 year post admission was significantly less; 9% versus 36% for UC and death due to UTI related septicaemia was 33% versus 18% respectively.
  
  
  CONCLUSIONS
  It was concluded that SPC was a better management option since it was associated with a low morbidity, better quality of life and a longer life expectancy than UC.
authors: Orthopaedic unit, Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
authors: H C
authors: HC
authors: Nwadiaro
authors: M I
authors: MI
authors: Nnamonu
authors: V M
authors: VM
authors: Ramyil
authors: G O
authors: GO
authors: Igun
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003559:Cystostomy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D012307:Risk Factors; D013124:Spinal Injuries / Q000150:complications*; D016896:Treatment Outcome; D001750:Urinary Bladder, Neurogenic / Q000628:therapy*; D014546:Urinary Catheterization / Q000379:methods*