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Should complete and incomplete spinal cord injury patients receive the same attention in urodynamic evaluations and ultrasonography examinations of the upper urinary tract ?

AKKOC Y; CINAR Y; KISMALI E
INT J REHABIL RES , 2012, vol. 35, n° 2, p. 178-180
Doc n°: 157172
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/MRR.0b013e3283513663
Descripteurs : AE21 - ORIGINE TRAUMATIQUE, AH2 - TROUBLES MICTIONNELS

The aim of the study was to compare urodynamic findings and upper urinary tract
(UUT) abnormalities detected by ultrasonography in complete and incomplete
suprasacral spinal cord injury (SCI) patients with neurogenic detrusor
overactivity. Thirty-eight suprasacral SCI patients who underwent ultrasonography
evaluation of the UUT and urodynamic investigation were evaluated
retrospectively. The mean maximum detrusor pressure was 51.08+28.71 cmH2O for the
American Spinal Injury Association (ASIA)-A group and 61.42+30.93 cmH2O for the
ASIA-B-E group (P>0.05). The mean cystometric capacity was 269.38+139.98 for the
ASIA-A group and 223.36+135.59 ml for the ASIA-B-E group (P>0.05). Abnormalities
in the UUT were found in 15.4% of the complete SCI patients and 16% of the
incomplete SCI patients (P>0.05). No differences were found in urodynamic
parameters and UUT abnormalities between the complete and the incomplete
suprasacral SCI patients. Therefore, incomplete SCI patients should be observed
with the same caution as complete SCI patients.

Langue : ANGLAIS

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