Bladder Managment for Adults with Spinal Cord Injury - 10

10

BLADDER MANAGEMENT FOR ADULTS WITH SPINAL CORD INJURY

Special population or condition (e.g., females, acute phase, detrusor-external sphincter dyssynergia, bladder cancer, autonomic dysreflexia). Type of outcomes available (clinical, complications, quality of life, urodynamics, utilization/cost). Study primary objective. Authors’ conclusions. Baseline Individual Characteristics (For each treatment group) Total number of individuals enrolled/assessed. Age (mean or median, range). Gender distribution (males/females). Race (White, Hispanic, Black, Asian, other). Duration of spinal cord injury (mean or median, range). Level of injury (cervical, thoracic, sacral, lumbar, composite). Spinal cord lesions: complete, incomplete.

• • •

Compliance (ml/cm H2O). Post-void residual volume (ml). Other urodynamic measures (maximum end-filling pressure, leak point pressure, urethral closure pressure, duration of contraction).

Interventions (To manage bladder emptying) Techniques: intermittent catheterization, reflex voiding, Credé/Valsalva. Devices: indwelling catheters (urethral [Foley], suprapubic). Surgery: sphincterotomy, endourethral stents, rhizotomy and neurostimulator implantation, other urologic surgery. Pharmacological management: local/systemic (anticholinergic medications, alpha-blockers, botulinum toxin injection). Other: acupuncture. Clinical Outcomes (Efficacy and safety of each intervention) Assessment time point. Definition of response/success.

Previous sphincterotomy (number of individuals). Method of bladder drainage (intermittent catheter, indwelling catheter, reflex voiding, other). Number of individuals with:

Number of individuals with response/success. Method of bladder drainage. Medications used to facilitate bladder drainage. Number of individuals with:

• • • • • • • • • •

Continence or incontinence. • Areflexia. • Detrusor-external sphincter dyssynergia. Autonomic dysreflexia. Poor bladder compliance. Recurrent urinary tract infections. Vesicoureteral reflux. Hydronephrosis. Chronic pyelonephritis. Other urologic complications. • • • • • Incontinence (improved/no change/worse/present or new). Areflexia. Poor bladder compliance. Detrusor-external sphincter dyssynergia (improved/no change/worse/present or new). Autonomic dysreflexia (improved/no change/worse/present or new). Recurrent urinary infections (improved/no change/worse/present or new). Vesicoureteral reflux (improved/no change/worse/present or new). Continence.

Urodynamic evaluation: • • Bladder capacity (ml). Maximum detrusor pressure (cm H2O). •



Bladder Managment for Adults with Spinal Cord Injury

Table of Contents for the Digital Edition of Bladder Managment for Adults with Spinal Cord Injury

Bladder Management for Adults with Spinal Cord Injury
Contents
Foreword
Preface
Acknowledgments
Panel Members
Contributors
Summary of Recommendations
The Consortium for Spinal Cord Medicine
Introduction
Recommendations
Recommendations for Future Research
Appendix A: Economic Considerations for Bladder Management Methods
References
Index
Bladder Managment for Adults with Spinal Cord Injury - Bladder Management for Adults with Spinal Cord Injury
Bladder Managment for Adults with Spinal Cord Injury - i
Bladder Managment for Adults with Spinal Cord Injury - ii
Bladder Managment for Adults with Spinal Cord Injury - Contents
Bladder Managment for Adults with Spinal Cord Injury - Foreword
Bladder Managment for Adults with Spinal Cord Injury - Preface
Bladder Managment for Adults with Spinal Cord Injury - Acknowledgments
Bladder Managment for Adults with Spinal Cord Injury - Panel Members
Bladder Managment for Adults with Spinal Cord Injury - Contributors
Bladder Managment for Adults with Spinal Cord Injury - ix
Bladder Managment for Adults with Spinal Cord Injury - Summary of Recommendations
Bladder Managment for Adults with Spinal Cord Injury - 2
Bladder Managment for Adults with Spinal Cord Injury - 3
Bladder Managment for Adults with Spinal Cord Injury - 4
Bladder Managment for Adults with Spinal Cord Injury - 5
Bladder Managment for Adults with Spinal Cord Injury - 6
Bladder Managment for Adults with Spinal Cord Injury - The Consortium for Spinal Cord Medicine
Bladder Managment for Adults with Spinal Cord Injury - 8
Bladder Managment for Adults with Spinal Cord Injury - 9
Bladder Managment for Adults with Spinal Cord Injury - 10
Bladder Managment for Adults with Spinal Cord Injury - 11
Bladder Managment for Adults with Spinal Cord Injury - 12
Bladder Managment for Adults with Spinal Cord Injury - Introduction
Bladder Managment for Adults with Spinal Cord Injury - 14
Bladder Managment for Adults with Spinal Cord Injury - 15
Bladder Managment for Adults with Spinal Cord Injury - 16
Bladder Managment for Adults with Spinal Cord Injury - Recommendations
Bladder Managment for Adults with Spinal Cord Injury - 18
Bladder Managment for Adults with Spinal Cord Injury - 19
Bladder Managment for Adults with Spinal Cord Injury - 20
Bladder Managment for Adults with Spinal Cord Injury - 21
Bladder Managment for Adults with Spinal Cord Injury - 22
Bladder Managment for Adults with Spinal Cord Injury - 23
Bladder Managment for Adults with Spinal Cord Injury - 24
Bladder Managment for Adults with Spinal Cord Injury - 25
Bladder Managment for Adults with Spinal Cord Injury - 26
Bladder Managment for Adults with Spinal Cord Injury - 27
Bladder Managment for Adults with Spinal Cord Injury - 28
Bladder Managment for Adults with Spinal Cord Injury - 29
Bladder Managment for Adults with Spinal Cord Injury - 30
Bladder Managment for Adults with Spinal Cord Injury - 31
Bladder Managment for Adults with Spinal Cord Injury - 32
Bladder Managment for Adults with Spinal Cord Injury - 33
Bladder Managment for Adults with Spinal Cord Injury - 34
Bladder Managment for Adults with Spinal Cord Injury - 35
Bladder Managment for Adults with Spinal Cord Injury - 36
Bladder Managment for Adults with Spinal Cord Injury - 37
Bladder Managment for Adults with Spinal Cord Injury - 38
Bladder Managment for Adults with Spinal Cord Injury - 39
Bladder Managment for Adults with Spinal Cord Injury - 40
Bladder Managment for Adults with Spinal Cord Injury - 41
Bladder Managment for Adults with Spinal Cord Injury - Recommendations for Future Research
Bladder Managment for Adults with Spinal Cord Injury - Appendix A: Economic Considerations for Bladder Management Methods
Bladder Managment for Adults with Spinal Cord Injury - 44
Bladder Managment for Adults with Spinal Cord Injury - References
Bladder Managment for Adults with Spinal Cord Injury - 46
Bladder Managment for Adults with Spinal Cord Injury - 47
Bladder Managment for Adults with Spinal Cord Injury - 48
Bladder Managment for Adults with Spinal Cord Injury - 49
Bladder Managment for Adults with Spinal Cord Injury - Index
Bladder Managment for Adults with Spinal Cord Injury - Cover4
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