URODYNAMIC BLADDER PATTERNS IN SPINAL CORD INJURY PATIENTS
Urodynamic Bladder in Spinal Cord Injury
Keywords:
Detrusor overactivity, Detrusor areflexia,, Neurogenic bladder, Spinal cord injury, Urodynamic study/Urodynamics.Abstract
Objective: To determine the frequency of various neurogenic bladder patterns in patients with traumatic spinal cord injury presenting at Armed Forces Institute of Rehabilitation Medicine Rawalpindi based on urodynamic studies.
Study Design: Descriptive cross sectional study.
Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine (AFIRM) Rawalpindi, from Jul 2014 to Jun 2016.
Material and Methods: One hundred and forty traumatic spinal cord injury patients fulfilling the inclusion criteria were included both from indoor and outdoor departments through non-probability purposive sampling. Urodynamic studies were performed using the urodynamic equipment at urodynamic laboratory. Data were collected and recorded on specialized proforma by the principal investigator.
Results: Among 140 study participants detrusor overactivity was found in 100 patients out of which 76 (76%) had thoracic level of injury, 20 (20%) had cervical level and 4 (4%) had lumbar level of injury. Detrusor areflexia was the bladder pattern in 40 patients out of which 26 (65%) had thoracic level of injury, 10 (25%) had cervical level, and 4 (10%) had lumbar level of injury.
Conclusion: Detrusor overactivity was the commonest neurogenic bladder pattern among the traumatic spinal cord injury patients.
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