title: Protective effect of preserved bladder-filling sensation on upper urinary tract in patients with spinal cord injury.
abstract: In this study the possible preventive effect of bladder-filling sensation (BFS) on upper urinary tract deterioration (UUTD) in spinal cord injury (SCI) patients was investigated. Eighty-four (60 males, 24 females) patients with SCI who underwent neurourological assessment and urodynamic examinations because of neurogenic lower urinary tract dysfunction and were prescribed appropriate bladder management and were under follow-up and whose disease duration was at least 3 years were included in the study. Bladder-filling sensation was categorised as "absent", "partially preserved" or "preserved", and as "normal" (preserved) and "abnormal" (partially preserved, absent). Presence of hydronephrosis, renal stones, and chronic pyelonephritis in any renal USG or IVP performed during the follow-up period were accepted as criteria of UUTD. The frequencies of UUTD for BFS subgroups were determined and compared. Mean age and mean disease duration were 38.4 ± 13.0 years and 72.2 ± 36.2 months. The frequency of UUTD was 31/84 (36.9 %) in the study population. The frequencies of UUTD were 0/8 (0 %), 22/53 (41.5 %) and 9/23 (39.1 %) for "preserved" "partially preserved" and "absent" BFS subgroups, respectively (p = 0.074). There was a statistically significant difference between normal BFS [0/8 (0 %)] and abnormal BFS [31/76 (40.8 %)] subgroups (p = 0.024). According to the results of our study preserved (normal) bladder-filling sensation has protective effect on upper urinary tract in patients with SCI.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Yıldırım Beyazıt University, Ankara, Turkey, mersoz@tr.net.
authors.forename: Murat
authors.initials: M
authors.lastname: Ersöz
authors.forename: Selçuk
authors.initials: S
authors.lastname: Sayılır
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012677:Sensation; D013119:Spinal Cord Injuries / Q000150:complications*; D001745:Urinary Bladder Diseases / Q000150:complications / Q000523:psychology*; D014570:Urologic Diseases / Q000150:complications*; D055815:Young Adult
references.citation: Arch Neurol. 1983 Sep;40(9):570-3
references.pmid: 6615289
references.citation: J Urol. 1998 Aug;160(2):479-81
references.pmid: 9679902
references.citation: Paraplegia. 1992 Sep;30(9):617-30
references.pmid: 1408338
references.citation: Neurourol Urodyn. 2007;26(2):228-33
references.pmid: 16998859
references.citation: Urol Int. 2012;89(4):462-7
references.pmid: 23108280
references.citation: Paraplegia. 1991 Sep;29(7):490-4
references.pmid: 1784517
references.citation: Spinal Cord. 2013 Oct;51(10):780-3
references.pmid: 23939191
references.citation: J Spinal Cord Med. 2006;29(5):527-73
references.pmid: 17274492
references.citation: Spinal Cord. 2004 Feb;42(2):110-6
references.pmid: 14765144
references.citation: Int J Rehabil Res. 2012 Jun;35(2):178-80
references.pmid: 22330305
references.citation: Spinal Cord. 1997 Apr;35(4):213-6
references.pmid: 9143082
references.citation: Spinal Cord. 2008 Mar;46(3):210-5
references.pmid: 17646839
references.citation: J Urol. 1992 Feb;147(2):416-8
references.pmid: 1732606
references.citation: Paraplegia. 1974 Feb;11(4):268-76
references.pmid: 4827225
references.citation: Paraplegia. 1988 Apr;26(2):83-6
references.pmid: 3412780
references.citation: Eur Urol. 2002 Jul;42(1):34-8
references.pmid: 12121727