Abstract：
STUDY DESIGN:Epidemiological follow-up study. OBJECTIVE:To examine the bladder-emptying methods at least 10 years after a traumatic spinal cord injury (SCI). SETTING:Clinic for Para- and Tetraplegia and Department of Urology, Rigshospitalet, Copenhagen University Hospital, Denmark. METHODS:Retrospective data collection from patient records and data collected with a follow-up questionnaire. The response rate was 84.6% corresponding to 236 SCI individuals, injured in 1956-1990. There were 82/18% male/female patients and 47/53% tetraplegic/paraplegic. Age at the time of follow-up was 50.5 years in mean (range 28-84). Years from time of injury were 24.1 years in mean (range 10-45). RESULTS:The use of clean intermittent catheterisation (CIC) rose from 11% at the initial discharge to 36% at the time of follow-up. The use of suprapubic tapping fell from 57 to 31% in the same period, while the use of Crede manoeuvre rose from 5 to 19%. During follow-up, 46% changed bladder-emptying method. The results showed the following trends in change of method: a high proportion of discontinuation in normal bladder emptying, suprapubic tapping and abdominal pressure and a high proportion of continuation when using CIC. 28% found their bladder-emptying method to be a problem; of these 58% were tetraplegic. Of the participants using CIC, 92% reported using hydrophilic-coated catheters. CONCLUSIONS:Changing of bladder-emptying method among SCI individuals over time is common. CIC alone or in combination with another bladder-emptying method is the most frequently used method of bladder emptying. SPONSORSHIP:The study was carried out as part of the primary author's PhD-study, which was financed by Medicon Valley Academy and Coloplast A/S.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Hansen RB,Biering-Sørensen F,Kristensen JKdoi
10.1038/sj.sc.3101637subject
Has Abstractpub_date
2004-11-01 00:00:00pages
631-7issue
11eissn
1362-4393issn
1476-5624pii
3101637journal_volume
42pub_type
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