Comparison of Bladder Management Complication Outcomes in Female Spinal Cord Injury Patients

No AccessJournal of UrologyClinical Urology: Original Article1 May 1995Comparison of Bladder Management Complication Outcomes in Female Spinal Cord Injury Patients Carol J. Bennett, Mary Nancy Young, Rodney H. Adkins, and Frances Diaz Carol J. BennettCarol J. Bennett , Mary Nancy YoungMary Nancy Young , Rodney H. AdkinsRodney H. Adkins , and Frances DiazFrances Diaz View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)67432-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A total of 70 female spinal cord injury patients was retrospectively analyzed for outcomes of long-term bladder management. Three groups were defined: 1) 23 patients on intermittent catheterization, 2) 25 treated by reflex voiding and incontinence padding, and 3) 22 with an indwelling catheter. Mean years of using the specific bladder management technique were 8.5 plus/minus 4.7, 15.8 plus/minus 7.3 and 16.7 plus/minus 9.0 for the 3 groups, respectively. All patients were evaluated for long-term complications. There were 4 major complications (17 percent) in the intermittent catheterization group, 10 (40 percent) in the padding group and 58 (greater than 200 percent) in the indwelling catheter group. The aggregate difference in complication rates among the 3 group was highly significant (p less than 0.00001). Of comparable long-term patients (11 to 23 years) there were no major complications among 6 on intermittent catheterization, 8 among 14 who use padding and 21 among 9 with an indwelling catheter. The differences among the groups remained significant (p less than 0.00001). Additional analyses showed highly significant differences between the catheter group and the other 2 groups (intermittent catheterization p = 0.0009 and padding p = 0.0005), and a difference that approached significance between the intermittent catheterization and padding groups (p = 0.085). The results strongly support intermittent catheterization as the optimal management of female patients following spinal cord injury given that other factors, in particular independent hand function or the need for appropriate assistance, are considered. References 1 Spinal Cord Injury.. Facts and Figures at a Glance.. : National Spinal Cord Injury Statistical CenterMarch 1994. Google Scholar 2 : Comparative urological outcome in women with spinal cord injury.. J. Urol.1986; 135: 730. Abstract, Google Scholar 3 : Complications from long-term indwelling Foley catheters in female patients with neurogenic bladders.. Sem. Urol.1992; 10: 115. 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Google Scholar From the Department of Urology, University of Southern California School of Medicine, Los Angeles, and Departments of Urology and Nursing (Urological Nursing Services), Rehabilitation Research and Training Center on Aging with Spinal Cord Injury and Regional Spinal Cord Injury Care System of Southern California, Rancho Los Amigos Medical Center, Downey, California.© 1995 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWein A (2020) Re: Reasons for Cessation of Clean Intermittent Catheterization after Spinal Cord Injury: Results from the Neurogenic Bladder Research Group Spinal Cord Injury RegistryJournal of Urology, VOL. 204, NO. 2, (391-392), Online publication date: 1-Aug-2020.Wein A (2020) Re: Reasons for Cessation of Clean Intermittent Catheterization after Spinal Cord Injury: Results from the Neurogenic Bladder Research Group Spinal Cord Injury RegistryJournal of Urology, VOL. 204, NO. 3, (624-625), Online publication date: 1-Sep-2020.Cameron A, Wallner L, Tate D, Sarma A, Rodriguez G and Clemens J (2010) Bladder Management After Spinal Cord Injury in the United States 1972 to 2005Journal of Urology, VOL. 184, NO. 1, (213-217), Online publication date: 1-Jul-2010.ORD J, LUNN D and REYNARD J (2018) Bladder Management and Risk of Bladder Stone Formation in Spinal Cord Injured PatientsJournal of Urology, VOL. 170, NO. 5, (1734-1737), Online publication date: 1-Nov-2003.Bennett C (2018) Editorial: The Evolving Importance of Neurourology and UrodynamicsJournal of Urology, VOL. 155, NO. 1, (275-276), Online publication date: 1-Jan-1996. Volume 153Issue 5May 1995Page: 1458-1460 Advertisement Copyright & Permissions© 1995 by American Urological Association, Inc.MetricsAuthor Information Carol J. Bennett More articles by this author Mary Nancy Young More articles by this author Rodney H. Adkins More articles by this author Frances Diaz More articles by this author Expand All Advertisement PDF downloadLoading ...