ArticleIndian journal of orthopaedics2011
Bladder management methods and urological complications in spinal cord injury patients.
Article in Indian journal of orthopaedics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04763382 (The Effect of Nursing Interventions for Clean Intermittent Catheterization on Knowledge / Skills, Coping / Adaptation, Anxiety and Infection Development in Child Caregivers), which is not on this map. Cited by 40 papers, 2 of them syntheses that pooled it.
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The Effect of Nursing Interventions for Clean Intermittent Catheterization on Knowledge / Skills, Coping / Adaptation, Anxiety and Infection Development in Child Caregivers
Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Is It Really the Foley? A Systematic Review of Bladder Management and Infection Risk.Topics in spinal cord injury rehabilitation · 2023Pooled it
- Infections in the spinal cord-injured population: a systematic review.Spinal cord · 2017Pooled it
- Bladder management for adults with spinal cord injury in the acute hospital setting: A retrospective study.Spinal cord series and cases · 2026Article
- Bibliometric Analysis of Highly-Cited Papers ofIndian journal of orthopaedics · 2026Review
- Adherence of spinal cord injury patients in the community to self-clean intermittent catheterization (CIC) within 12 months of discharge following rehabilitation: A telephone survey.The journal of spinal cord medicine · 2025Article
- Review
- Efficacy of the Roy Adaptation Model with smartphone training in reducing urinary tract infection in pediatric clean intermittent catheterization: a prospective study.European journal of pediatrics · 2025Article
- Article
- Intermittent self-catheterization training and effects on treatment adherence and infection.European journal of physical and rehabilitation medicine · 2023Observational
- Changes in bladder emptying during inpatient rehabilitation after spinal cord injury and predicting factors: data from the Dutch Spinal Cord Injury Database.Spinal cord · 2023Observational
- Urinary tract infections and intermittent catheterization among patients with spinal cord injury in Chinese community.Scientific reports · 2023Article
- Is procalcitonin a reliable indicator of sepsis in spinal cord injury patients: an observational cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Observational
- [LysJournal of basic and clinical physiology and pharmacology · 2023Article
- Cross-sectional internet survey exploring symptomatic urinary tract infection by type of urinary catheter in persons with spinal cord lesion in Japan.Spinal cord series and cases · 2023Article
- Proteomics analysis of urine and catheter-associated biofilms in spinal cord injury patients.American journal of clinical and experimental urology · 2023Article
- Reasons for Altering Bladder Management and Satisfaction with Current Bladder Management in Chronic Spinal Cord Injury Patients.International journal of environmental research and public health · 2022Article
- Bladder Management Strategies for Urological Complications in Patients with Chronic Spinal Cord Injury.Journal of clinical medicine · 2022Review
- Exoskeleton use in acute rehabilitation post spinal cord injury: A qualitative study exploring patients' experiences.The journal of spinal cord medicine · 2022Observational
- Incidence of urinary tract infection following initiation of intermittent catheterization among patients with recent spinal cord injury in Germany and the Netherlands.The journal of spinal cord medicine · 2022Article
- A Real-world Data Analysis of Intermittent Catheterization, Showing the Impact of Prelubricated Versus Hydrophilic Catheter Use on the Occurrence of Symptoms Suggestive of Urinary Tract Infections.European urology open science · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe optimal bladder management method should preserve renal function and minimize the risk of urinary tract complications. The present study is conducted to assess the overall incidence of urinary tract infections (UTI) and other urological complications in spinal cord injury patients (SCI), and to compare the incidence of these complications with different bladder management subgroups. MATERIALS AND
methods545 patients (386 males and 159 females) of traumatic spinal cord injury with the mean age of 35.4±16.2 years (range, 18 - 73 years) were included in the study. The data regarding demography, bladder type, method of bladder management, and urological complications, were recorded. Bladder management methods included indwelling catheterization in 224 cases, clean intermittent catheterization (CIC) in 180 cases, condom drainage in 45 cases, suprapubic cystostomy in 24 cases, reflex voiding in 32 cases, and normal voiding in 40 cases. We assessed the incidence of UTI and bacteriuria as the number of episodes per hundred person-days, and other urological complications as percentages.
resultsThe overall incidence of bacteriuria was 1.70 / hundred person-days. The overall incidenceof urinary tract infection was 0.64 / hundered person-days. The incidence of UTI per 100 person-days was 2.68 for indwelling catheterization, 0.34 for CIC, 0.34 for condom drainage, 0.56 for suprapubic cystostomy, 0.34 for reflex voiding, and 0.32 for normal voiding. Other urological complications recorded were urethral stricture (n=66, 12.1%), urethritis (n=78, 14.3%), periurethral abscess (n=45, 8.2%), epididymorchitis (n=44, 8.07%), urethral false passage (n=22, 4.03%), urethral fistula (n=11, 2%), lithiasis (n=23, 4.2%), hematuria (n=44, 8.07%), stress incontinence (n=60, 11%), and pyelonephritis (n=6, 1.1%). Clean intermittent catheterization was associated with lower incidence of urological complications, in comparison to indwelling catheterization.
conclusionsUrinary tract complications largely appeared to be confined to the lower urinary tract. The incidence of UTI and other urological complications is lower in patients on CIC in comparison to the patients on indwelling catheterizations. Encouraging CIC; early recognition and treatment of the UTI and urological complications; and a regular follow up is necessary to reduce the medical morbidity.
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