ArticleBJUI compass2026
The impact of the timing of spinal decompression on urinary and sexual function after acute spinal cord injury.
Article in BJUI compass, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: While earlier decompression after spinal cord injury (SCI) is linked to better motor recovery, its impact on bladder and sexual function remains unexplored. Our objective was to determine if time to surgical decompression is associated with bladder and sexual function. Methods: We conducted a retrospective cohort study using the prospectively collected Canadian Rick Hansen SCI Registry. Primary exposure was time to surgical decompression. Primary outcome was abnormal bladder function defined by use of catheters or any incontinence at 1-year. Secondary outcomes were sexual function and motor score. Adjusted logarithmic regression models were used. Results: One thousand thirty-eight participants met inclusion criteria. Median time to surgical decompression was 25 (IQR17-50) hours, and 46% (475/1038) had early decompression (<24 h). There were 63% (650/1038) who had evidence of abnormal bladder function at 1-year. On multivariate regression, time to decompression was not significantly related to abnormal bladder function (OR 1.00, 95% CI 1.00-1.01, Conclusions: A shorter time to surgical decompression after SCI was not associated with improved bladder or sexual function outcomes; however, older age and a more complete injury were significant predictors.
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