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Neurogenic bladder: from diagnosis to management
Ellen Goldmark1, Benjamin Niver, David A Ginsberg
1University of Southern California, Los Angeles, CA, USA.
Current Urology Reports
|August 15, 2014
Summary
Spinal cord injury (SCI) can cause various urinary issues. Understanding SCI pathophysiology improves renal function preservation and patient quality of life.
Area of Science:
- Urology
- Neurology
- Nephrology
Background:
- Spinal cord injury (SCI) leads to diverse urologic problems.
- Historically, renal failure was a major cause of mortality in SCI patients.
- Advancements in understanding SCI pathophysiology have reduced mortality rates.
Purpose of the Study:
- To highlight the urologic manifestations of spinal cord injury.
- To emphasize the importance of renal function preservation in SCI patients.
- To improve the quality of life for individuals with SCI.
Main Methods:
- Review of urologic manifestations based on SCI level.
- Discussion of historical mortality related to renal failure.
- Emphasis on evaluation and follow-up protocols.
Main Results:
- SCI presents with a spectrum of urologic issues.
- Improved understanding of SCI has decreased related mortality.
- Proactive management is key to preserving renal function.
Conclusions:
- Comprehensive evaluation and consistent follow-up are crucial for SCI patients.
- Preserving renal function is the primary objective.
- Optimizing quality of life is a significant secondary goal.
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