Korean J Urol.  1997 Oct;38(10):1075-1080.

Urologic Complications and Management in 337 Spinal Cord Injured Patients

• So JG
• Oh DJ
• Lim YS
• Park WH
• Shim HB

Abstract

337 spinal cord injured patients had been followed up for urologic management in Korea Veterans Hospital. 106 spinal cord injured patients, admitted due to urologic complications from 1990 to 1995, were analyzed. The level of cord injury was cervical in 26, thoracic in 63 and lumbar in 17 patients. The voiding method was suprapubic cystostomy in 32, clean intermittent catheterization in 27, self-voiding in 25, condom catheter in 14, urethral catheter in 6 and others in 2 patients. The common urologic complications were acute pyelonephritis, bladder stone, epididymitis, vesicoureteral reflux, low vesical compliance, autonomic dysreflexia and bladder tumor. Medical treatments for urologic complications were performed for 79 cases (46%) and surgical treatments for 92 cases (54%) We conclude that periodic urologic follow-up will be needed for early detection and management of urologic complications due to spinal cord injury.

Keyword

Spinal cord injury; Urologic complication; Management

MeSH Terms

Autonomic Dysreflexia
Catheters
Compliance
Condoms
Cystostomy
Epididymitis
Follow-Up Studies
Hospitals, Veterans
Humans
Intermittent Urethral Catheterization
Korea
Male
Pyelonephritis
Spinal Cord Injuries
Spinal Cord*
Urinary Bladder Calculi
Urinary Bladder Neoplasms
Urinary Catheters
Vesico-Ureteral Reflux