Abstract：
STUDY DESIGN:Observational cross-sectional study. OBJECTIVES:Due to weakened pelvic floor muscles, the risk of pelvic organ prolapse (POP) may increase after a spinal cord injury (SCI); hence, the aim of this study was to investigate the occurrence of POP after SCI and to evaluate the need for urogynecological consultations offered to women with SCI. SETTING:Clinic for Spinal Cord Injuries, Rigshospitalet, Denmark. METHODS:Women with SCI who visited our SCI-clinic during January 2013-January 2018 were offered a specialized urogynecological consultation. Any symptoms of POP, urinary/fecal incontinence, or bladder/bowel emptying problems were registered, and POP was classified according to the POP quantification system during a pelvic examination. Differences in baseline characteristics between women with POP stage 0-1 and POP stage ≥2 were investigated. RESULTS:A total of 98 women were included in the study. Fourteen women (14%) reported POP symptoms and 21 women (21%) had anatomical POP stage ≥2. The group with POP stage ≥2 had a significantly higher age, higher parity, more with vaginal delivery, and more postmenopausal women, but the groups did not differ on median time after injury, neurological level, and completeness of injury. A total of 71% experienced urinary incontinence, 27% experienced fecal incontinence, 63% experienced bladder emptying problems, and 70% experienced bowel emptying problems. Consequently, 65% received treatment. CONCLUSIONS:Women with SCI are not in increased risk of developing anatomical POP. Nonetheless, the high occurrence of other urogynecological issues and the high treatment-rate supports the need for specialized urogynecological consultations offered to women with SCI.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Elmelund M,Biering-Sørensen F,Bing MH,Klarskov Ndoi
10.1038/s41393-018-0181-0subject
Has Abstractpub_date
2019-01-01 00:00:00pages
18-25issue
1eissn
1362-4393issn
1476-5624pii
10.1038/s41393-018-0181-0journal_volume
57pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract：STUDY DESIGN:Multicentre retrospective 1-year survey during 2000. OBJECTIVES:To describe the network of physical medicine and rehabilitation units in France that care for people with traumatic spinal cord injuries (SCI), and secondly, to evaluate the incidence of SCI persons who have postinjury rehabilitation care. S...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1038/sj.sc.3101717
更新日期：2005-06-01 00:00:00
abstract：STUDY DESIGN:Retrospective study. OBJECTIVES:To examine the value of operative fracture stabilization by means of the ring fixator in fractures of the lower extremity in the presence of chronic paralysis caused by transverse lesions of the spinal cord. SETTING:A specialist center for the treatment of spinal cord inju...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101397
更新日期：2003-03-01 00:00:00
abstract：STUDY DESIGN:Longitudinal, prospective within-subject design. OBJECTIVES:(1) To determine the effects of long-term body-weight-supported treadmill training (BWSTT) on functional walking ability and perceived quality of life in persons with chronic incomplete spinal cord injury (SCI), and (2) to investigate whether tra...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3101710
更新日期：2005-05-01 00:00:00
abstract：STUDY DESIGN:Prospective multidimensional study by means of: (1) clinical assessment, (2) parental-administered questionnaire for general health (CHQ-PF50), and (3) standardised disability measurements. OBJECTIVES:To assess the health-related quality of life (QoL) and disability in children with spina bifida (SB) and ...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101707
更新日期：2005-04-01 00:00:00
abstract：STUDY DESIGN:Prospective study. OBJECTIVE:To identify and define dermatological conditions following acute traumatic spinal cord injury (ATSCI) during inpatient rehabilitation. SETTING:Spinal Cord Injury Unit, The Department of Neurological Rehabilitation, The Chaim Sheba Medical Center, Israel. METHODS:During a 1-y...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3101697
更新日期：2005-03-01 00:00:00
abstract：STUDY DESIGN:Determination of fat oxidation at three different intensities in trained wheelchair athletes on the treadmill. OBJECTIVE:The aim of the study was to assess the level and highest rate of fat oxidation in endurance-trained wheelchair athletes for recommendation on endurance training. SETTING:Institute of S...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101548
更新日期：2004-01-01 00:00:00
abstract：STUDY DESIGN:A combination of review of case notes and outpatient follow-up. OBJECTIVE:To evaluate the effectiveness of the modified Girdlestones-Taylor procedure in patients with spinal cord injury (SCI). SETTING:Princess Royal Spinal Injuries Centre (PRSIC), Northern General Hospital, Sheffield, UK. METHODS:Nine p...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101924
更新日期：2006-12-01 00:00:00
abstract：STUDY DESIGN:Patients with neurological walking impairment were rehabilitated with a new system, consisting of an apparatus to constantly relieve the body weight and a treadmill: The Walking Assistance and Rehabilitation Device (WARD). Patients were evaluated before and after rehabilitation with clinical scales and phy...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100821
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:To assess the effects of exercise therapy (ET) on motor control and functional ability of the upper extremity in patients with cervical spinal cord injury (SCI). METHODS:An extensive systematic literature search in five databases was performed to identify clinical and (randomized) controlled trials, evaluati...
journal_title：Spinal cord
pub_type： 杂志文章,评审
doi：10.1038/sc.2008.113
更新日期：2009-03-01 00:00:00
abstract：STUDY DESIGN:Human tails continue to elicit curiosity till the present times. A unique case of human cervical dysraphism is described. OBJECTIVES:In addition to the cosmetic stigma, these cutaneous markers provide a lead to reach the underlying spinal dysraphic states. SETTING:Plains of North India. METHODS:A case o...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101988
更新日期：2007-08-01 00:00:00
abstract：STUDY DESIGN:Prospective cohort study. OBJECTIVES:To evaluate the relationship between quality of life (QOL) after a traumatic spinal cord injury (TSCI) and acute predictors, with a particular emphasis on the initial severity of the neurological injury. Secondarily, to compare the QOL after a TSCI with the general pop...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-018-0178-8
更新日期：2018-11-01 00:00:00
abstract：STUDY DESIGN:Secondary analysis of cross-sectional population-based self-report data. OBJECTIVE:To determine how well the Pain Medication Questionnaire (PMQ) measures risk of pain medication misuse and its precision in separating individuals with spinal cord injury (SCI) into meaningful classification categories. SET...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2017.89
更新日期：2017-12-01 00:00:00
abstract：STUDY DESIGN:Case-control study. OBJECTIVES:The objective of this study was to provide some useful information concerning the incidence, clinical features, and risk factors for symptomatic postoperative spinal epidural hematoma (SPSEH) in an isolated cohort of patients undergoing spine tumor surgery. SETTING:Hospital...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-019-0281-5
更新日期：2019-08-01 00:00:00
abstract：OBJECTIVE:Administration after spinal cord injury (SCI) of methylprednisolone (MP) for 24-48 h has been suggested to improve functional outcome. The safety of this approach has been questioned because of the known adverse effects of glucocorticoids on skeletal muscle and the immune system. The purpose of this study was...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2011.28
更新日期：2011-08-01 00:00:00
abstract：:The demyelination process is an important factor contributing to long term sensory and motor impairments after spinal cord injury (SCI). Exposure of axonal K+ channels after demyelination may contribute to blockage of action potentials across the injury site. A K+ channel blocker, 4-aminopyridine (4-AP), has been effe...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100502
更新日期：1998-01-01 00:00:00
abstract：STUDY DESIGN:The functional outcome of the diaphragm after acute spinal cord injury was reviewed over a 16 year period for 107 patients who had required assisted ventilation in the acute phase. OBJECTIVES:To quantify the incidence of recovery of diaphragm function which occurred beyond the period of acute oedema; to p...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100775
更新日期：1999-02-01 00:00:00
abstract：:Spinal cord-injured (SCI) patients often suffer from symptomatic polymicrobial urinary tract infection (UTI). The objective of this study was to evaluate the clinical outcome and cost-savings associated with antibiotic therapy based on limited vs full microbiological investigation of urine cultures in adult SCI patien...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1038/sj.sc.3100429
更新日期：1997-08-01 00:00:00
abstract：OBJECTIVES:To investigate the morphological aspects of blood microvasculature of the skin and subcutaneous tissues in subjects with paraplegia with heterotopic ossification (HO). METHODS:In two patients with traumatic spinal cord injury and HO, punch biopsies of skin and hypodermic soft tissue in the region of HO near...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101134
更新日期：2001-11-01 00:00:00
abstract：STUDY DESIGN:Case-control study. OBJECTIVES:To investigate the level of autonomic nervous system dysfunction in patients with spinal cord injury and to determine its effect on the basal metabolic rate and oxygen consumption during daily living activities. SETTING:Turkish Armed Forces Rehabilitation Center, Ankara, Tu...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2016.111
更新日期：2017-03-01 00:00:00
abstract：:The aim of this study was to quantify the energy cost and the cardiorespiratory response while walking at free speed with an Advanced Reciprocating Gait Orthosis (ARGO). The study was conducted on a group of six male paraplegic patients, age range 16-31 years (median = 22.50), with complete traumatic injuries ranging ...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3100564
更新日期：1998-04-01 00:00:00
abstract：OBJECTIVES:Hypertension (HTN) is an important risk factor for cardiovascular disease, a major cause of morbidity and mortality among people with spinal cord injury and disorders (SCI/D). Our study examined prevalence, associated factors, and pharmacological treatment of HTN in Veterans with SCI/D compared with a matche...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2012.122
更新日期：2013-02-01 00:00:00
abstract：STUDY DESIGN:This study was designed to investigate the effects of oxidant and antioxidant treatment, as well as regular exercise, on neurotrophin levels in the spinal cord of rats. OBJECTIVES:Reactive oxygen species (ROS) play a role in neurodegenerative diseases, but ROS at moderate levels could stimulate biochemica...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2008.125
更新日期：2009-06-01 00:00:00
abstract：STUDY DESIGN:Case report. OBJECTIVES:To report a penetrating gunshot injury at L1 with migration within the spinal canal to S2. SETTING:Istanbul, Turkey. METHODS:A 44-year-old man was admitted with an entrance gunshot wound on the left upper quadrant. An emergency exploratory laparotomy with left nephrectomy and tra...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101808
更新日期：2006-05-01 00:00:00
abstract：STUDY DESIGN:Intra- and inter-rater reliability study. OBJECTIVES:To assess intra- and inter-rater reliability of the Modified Ashworth Scale (MAS) and Spasm Frequency Score (SFS) in lower extremities in a population of spinal cord-injured persons, as well as correlations between the two scales. SETTING:Clinic for Sp...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2015.230
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:Despite evidence of the relationship between time use and health and well-being, and the World Health Organization's recognition of activity limitation as a measure of dis-ability, there has been limited investigation into the activity patterns of persons with disabilities. METHODS:Interviews and time diari...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100908
更新日期：1999-11-01 00:00:00
abstract：STUDY DESIGN:This is a cross-sectional validation study. OBJECTIVE:The objective of this study was to adapt and validate a self-report version of the Spinal Cord Independence Measure (SCIM III) for the Spanish population. METHODS:A cross-cultural adaptation of the self-report version of the SCIM III for the Spanish p...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2014.225
更新日期：2015-06-01 00:00:00
abstract：:Management of the neuropathic bowel is one of the major issues in the treatment of patients with severe spinal cord injury (SCI). Pulsed irrigation evacuation (PIE) has been evaluated in several small studies for the clearing of fecal impactions in patients with a neuropathic bowel. We evaluated our experience with 39...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3100491
更新日期：1997-10-01 00:00:00
abstract：STUDY DESIGN:Intra-rater reliability study, cross-sectional design. OBJECTIVES:To determine reliability of the International Standards for Neurological Classification of Spinal Cord Injury (ISCSCI) motor and sensory exam in children. SETTING:Nonprofit pediatric hospital. METHODS:In all, 74 subjects had two trials of...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101987
更新日期：2007-06-01 00:00:00
abstract：STUDY DESIGN:Register study. OBJECTIVES:To design and implement a validation process to check the completeness of the Hospital Discharge Register (HDR) held by the Swedish National Board of Health and Welfare. SETTING:Sweden. METHODS:An accurate traumatic spinal cord injury prevalence group (n=495) was acquired from...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2008.42
更新日期：2008-11-01 00:00:00
abstract：STUDY DESIGN:Retrospective cohort study. OBJECTIVE:To describe the characteristics of patients with work-related traumatic spinal cord injuries (TSCI) in Chile. SETTING:Hospital del Trabajador in Santiago, Santiago, Chile. METHODS:Patients suffering from TSCI incurred at the workplace from 1986 to 2005 were identifi...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2010.71
更新日期：2011-02-01 00:00:00
