title: [Video-urodynamic characteristics and management in complete cervical and thoracic spinal cord injury patients].
abstract: OBJECTIVE
  To explore the video-urodynamic characteristics and management in complete cervical and thoracic spinal cord injury patients.
  
  
  METHODS
  Video-urodynamic examination was performed in 113 patients with complete cervical and thoracic spinal cord injury from January 2008 to May 2010. And their characteristics, managements and 3-year follow-up outcomes were reviewed and analyzed retrospectively.
  
  
  RESULTS
  Among them, there were detrusor overactivity (n = 82, 72.57%), detrusor areflexia (n = 31, 27.43%), detrusor external sphincter dyssynergia (n = 71, 62.83%), low-compliance (n = 59, 52.21%), reflux (n = 6, 5.31%) and ultrasonic uronephrosis (n = 12, 10.62%). According to the result of the video-urodynamic examination, detrusor overactivity patients chose oral anticholinergic agents, botulinum toxin type A injection method, detrusor areflexia patients chose regular intermittent catheterization for bladder training. During a 3-year follow-up, there were cystic calculus (n = 2) and urinary infection (n = 7).No special complication occurred.
  
  
  CONCLUSIONS
  The video-urodynamic characteristics vary in complete cervical and thoracic spinal cord injury patients. The major symptoms include detrusor overactivity, detrusor external sphincter dyssynergia and low-compliance bladder. Proper management is essential for protecting upper urinary tract and preventing urinary system complication.
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China. Email: juanwu7070@126.com.
authors.forename: Juan
authors.initials: J
authors.lastname: Wu
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
authors.forename: Guang
authors.initials: G
authors.lastname: Fu
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
authors.forename: Li-min
authors.initials: LM
authors.lastname: Liao
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Li
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
authors.forename: Yan-he
authors.initials: YH
authors.lastname: Ju
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
authors.forename: Dong
authors.initials: D
authors.lastname: Li
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
authors.forename: Wen-li
authors.initials: WL
authors.lastname: Liang
authors.affiliation: Capital Medical University School of Rehabilitation Medicine, Department of Urology, Beijing Charity Hospital, China Rehabilitation Research Center, Beijing 100068, China.
authors.forename: Zong-sheng
authors.initials: ZS
authors.lastname: Xiong
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck; D012189:Retrospective Studies; D013119:Spinal Cord Injuries / Q000150:complications / Q000503:physiopathology* / Q000628:therapy*; D013909:Thorax; D001745:Urinary Bladder Diseases / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014563:Urodynamics; D055815:Young Adult