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Urinary Retention in Spinal Cord Injury
Nima Nassiri1, Marissa Maas1, Sameer Chopra1
1Department of Urology, Los Angeles County Department of Health Services, Rancho Los Amigos Medical Center, University of Southern California, Los Angeles, CA.
Urology
|April 24, 2020
Summary
A patient with paralysis and neurogenic bladder developed large bladder stones. Surgical removal and antibiotics were successful, emphasizing the need for a multidisciplinary team in spinal cord injury management.
Area of Science:
- Urology
- Neurosurgery
- Rehabilitation Medicine
Background:
- Neurogenic bladder is a common complication of spinal cord injury (SCI).
- Patients with SCI are at increased risk for urinary tract infections and stone formation.
- Management requires a comprehensive approach to address neurological and urological issues.
Observation:
- A 43-year-old female with paralysis and neurogenic bladder presented with recurrent urinary incontinence and infections.
- Imaging revealed two large bladder stones, each approximately 11 cm in diameter.
- The patient had a history of a gunshot wound leading to her paralysis.
Findings:
- The large bladder stones were successfully removed surgically.
- Post-operative management included antibiotic therapy to treat existing infections.
- The patient's urinary symptoms and infections resolved following treatment.
Implications:
- This case underscores the critical role of a multidisciplinary team in managing complex SCI patients.
- Prompt diagnosis and intervention are essential for preventing complications like massive stone formation.
- Effective management strategies can improve quality of life for individuals with neurogenic bladder.
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