Abstract
We made a retrospective comparative study of 88 cervical cord injury patients concerning their long term urological prognosis. In all, 129 urinary complications have occurred in 54 cases (61.4%). The incidence of urinary complications was high in those with higher levels of injury (except C ~ 4 lesions), a complete injury, a younger age of onset and a longer period after injury. Patients who had an indwelling catheter and a suprapubic cystostomy showed a higher rate of urinary complications. Urodynamically, there was no significant difference between the presence and absence of detrusor hyperreflexia. Those with detrusor-sphincter dyssynergia (DSD) also showed no difference compared to those without DSD. For the prevention of urinary complications in cervical cord injury patients, proper urinary management with clean intermittent catheter-isation (CIC), or low pressure voiding is necessary in the early period after the onset of the injury.
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Morita, H., Sazawa, A., Kanno, T. et al. Long term urinary prognosis of cervical cord injury patients. Spinal Cord 32, 30–35 (1994). https://doi.org/10.1038/sc.1994.6
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DOI: https://doi.org/10.1038/sc.1994.6