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Management of spinal cord injured patients by indwelling suprapubic catheterization
S A MacDiarmid1, E P Arnold, N B Palmer
1Department of Urology, Christchurch Spinal Injuries Unit, New Zealand.
Purpose:
We review the urological complications in spinal cord injury patients treated with suprapubic catheterization.
Materials And Methods:
Suprapubic catheterization was used in 44 spinal cord injury patients. Followup ranged from 12 to 150 months (mean 58). The catheters were irrigated weekly and changed every 2 weeks. Patients were followed annually with urodynamic studies and ultrasound.
Results:
No patient had renal deterioration, vesicoureteral reflux or bladder carcinoma. The incidences of incontinence, urinary tract infections and calculi were acceptable.
Conclusions:
Suprapubic catheterization is an effective and safe alternative form of bladder management in select patients with spinal cord injury.
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