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Bladder management in individuals with chronic neurogenic lower urinary tract dysfunction.
Spinal Cord
|November 12, 2015
Summary
Intermittent catheterization is common for neurogenic lower urinary tract dysfunction (NLUTD), but other methods are used. Female gender, older age, tetraplegia, and longer injury duration predict indwelling catheterization needs.
Area of Science:
- Urology
- Neurology
- Rehabilitation Medicine
Background:
- Neurogenic lower urinary tract dysfunction (NLUTD) affects bladder management.
- Patient and injury characteristics influence bladder evacuation strategies.
Purpose of the Study:
- Investigate associations between patient/injury factors and indwelling catheterization for chronic NLUTD.
- Identify predictors for indwelling catheter use in NLUTD patients.
Main Methods:
- Retrospective investigation of 1263 patients with chronic NLUTD.
- Data collected on patient characteristics and bladder management.
- Binary logistic regression analyzed factors influencing indwelling catheterization.
Main Results:
- Intermittent catheterization (IC) was the most common method (41.3%).
- Female gender, tetraplegia, age >45 years, and injury duration predicted indwelling catheterization.
- Odds of indwelling catheterization increased significantly for women (~2.5x), older patients (~3x), and tetraplegics (~4x).
Conclusions:
- While IC is frequent, other methods are chosen based on functional, cognitive, and social factors.
- Risk factors for indwelling catheterization include female gender, older age, severe injury, and longer injury duration.
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