[Bladder stones in acute spinal cord injury].
Urologic complications are an important cause of morbidity and even mortality in patients with spinal cord injury (SCI). It has been estimated that within eight years after injury, approximately 7% of SCI patients would develop kidney stones, whereas 36% would have bladder stones. Risk factors for urolithiasis among patients with SCI include complete spinal cord injury, lesions at or above the 4th thoracic spinal cord segment, upper motor neurone type of bladder, urinary tract infection with urease producing bacteria, recurrent urinary tract infection, indwelling catheters, presence of residual urine and immobilization. Detection and removal of bladder stones are important to prevent possible complications such as recurrent urinary tract infection, urosepsis and renal failure. The authors describe a clinical case of a patient with acute SCI that developed bladder stones and discuss its possible causes.
Silva
Ana Isabel
AI
Serviço de Medicina Física e de Reabilitação, Hospital de São João, Porto.
Sousa
Pedro
P
Miranda
Maria João
MJ
Andrade
Maria João
MJ
D000328:Adult; D006801:Humans; D008297:Male; D013119:Spinal Cord Injuries / Q000150:complications*; D013904:Thoracic Vertebrae; D001744:Urinary Bladder Calculi / Q000209:etiology*