title: An unresolved relationship: the relationship between lesion severity and neurogenic bladder in patients with spinal cord injury.
abstract: OBJECTIVE
  We aimed to investigate the relationship between the severity of the spinal lesion and urodynamic findings, bladder drainage method at discharge, and incidence of renal calculi in patients with spinal cord injury (SCI). STUDYDESIGN: Retrospective.
  
  
  METHODS
  In-patient rehabilitation unit of a tertiary research hospital.
  
  
  METHODS
  A total of 131 patients who were admitted to our clinic with a diagnosis of SCI and placed into a rehabilitation program were included in the study. The severity of the lesion was determined according to the American Spinal Injury Association Impairment Scale (AIS). We evaluated the relationship between the severity of the lesion and the detrusor hyperactivity and compliance as determined by urodynamic investigation, the bladder drainage method used at discharge, and the renal calculi rate as determined by ultrasonography.
  
  
  RESULTS
  While no difference was found between the patients with complete and incomplete injuries in terms of age, sex, disease duration, detrusor hyperactivity and compliance, the bladder drainage method was found to show a significant change according to the severity of the lesion. None of the patients were found to have hydronephrosis and the rate of renal calculi showed no statistically significant difference according to the severity of the lesion.
  
  
  CONCLUSIONS
  We concluded that urodynamic examination is required in each patient with SCI as the severity of the lesion is not sufficient to determine the bladder type, and patients with complete and incomplete injuries should be monitored with the same sensitivity in terms of complications.
authors: Sevgi Ikbali
authors: SI
authors: Afsar
authors: Banu
authors: B
authors: Sarifakioglu
authors: Şeniz Akcay
authors: ŞA
authors: Yalbuzdağ
authors: Sacide Nur
authors: SN
authors: Saraçgil Coşar
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D013119:Spinal Cord Injuries / Q000150:complications / Q000175:diagnosis*; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis* / Q000209:etiology; D014563:Urodynamics
keywords: Bladder management; Neurogenic bladder; Spinal cord injury; Urodynamic examination