Urodynamic Evaluation in Patients After Spinal Cord Injury

Study Overview
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Brief Summary
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Retrospective study, which analyzed 100 medical histories of patients who were admitted o the Neurological Rehabilitation Ward of the Rehabilitation Clinic in the Orthopedic-Rehabilitation Hospital in Poznan in years 2010-2019.

Detailed Description
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All patients considered for the study underwent routine testing: blood counts, urinalysis, urine culture, and sensitivity.

Official Title
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Urodynamic Evaluation Neurgenic Bladder in Patients After Spinal Cord Injury

Conditions
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Spinal Cord Injuries, Neurogenic Bladder, Urodynamics

Intervention / Treatment
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* Device: Urodynamic testing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: incomplete spinal cord injuries, the results of the urodynamic testing (conducted by the same urologist) by admission, urine culture test by admission. Exclusion Criteria: complete spinal cord injury without urodynamic test in medical documentation by admission, without urine culture test by admission, with symptomatic urinary tract infection in urodynamic test

Ages Eligible for Study
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Minimum Age: 30 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Demographic and clinical features of the patients<br>Number of patients Time from injury to hospitalization Time from injury to urodynamic evaluation Duration of hospitalization | Device: Urodynamic testing<br>* All data were obtained using the MMS Alfa 4T by the same urologist with use of an 8 Charr catheter.<br>|
| Comparison of urodynamic outcomes<br>Treatment options in patients with level SCI : cervical, thoracical and lumbar spinal cord injury | Device: Urodynamic testing<br>* All data were obtained using the MMS Alfa 4T by the same urologist with use of an 8 Charr catheter.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Urethra sensation | 2 - preserved, 1- reduced, 0 - absent | 30 days after spinal injury, | 
| Urethra sensation | 2 - preserved, 1- reduced, 0 - absent | after 3 months of rehabilitation | 
| Intravesical pressure | 0- normal, 1- low | 30 days after spinal injury, | 
| Intravesical pressure | 0- normal, 1- low | after 3 months of rehabilitation | 
| Bladder complaince | 2- high, 1- reduced | 30 days after spinal injury, | 
| Bladder complaince | 2- high, 1- reduced | after 3 months of rehabilitation | 
| Bladder stability | 0 -stable, 1- hyperactive | 30 days after spinal injury, | 
| Bladder stability | 0 -stable, 1- hyperactive | after 3 months of rehabilitation | 
| Bladder sensation | 2-preserved,1- reduced, 0- absent | 30 days after spinal injury | 
| Bladder sensation | 2-preserved,1- reduced, 0- absent | after 3 months of rehabilitation | 
| Bladder capacity | ml ( Average, Median, SD) | 30 days after spinal injury | 
| Bladder capacity | ml ( Average, Median, SD) | after 3 months of rehabilitation | 
| Urine volume | ml ( Average, Median,SD) | 30 days after spinal injury | 
| Urine volume | ml ( Average, Median,SD) | after 3 months of rehabilitation | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Urodynamics