Bladder drainage options for people with spinal cord injury: A Mini-Review

Neurogenic bladder is one of the negative consequences following a spinal cord injury (SCI). SCI patients who have neurogenic bladder depend on alternative methods to drain urine from their bladder. These include indwelling catheters, reflex voiding , suprapubic tapping and intermittent catheterisa...

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Main Authors: Julia Patrick Engkasan, Chua Li Shun, Farooq Azam Rathore
Format: Article
Language:English
Published: Pakistan Medical Association 2023-09-01
Series:Journal of the Pakistan Medical Association
Online Access:https://ojs.jpma.org.pk/index.php/public_html/article/view/10925
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author Julia Patrick Engkasan
Chua Li Shun
Farooq Azam Rathore
author_facet Julia Patrick Engkasan
Chua Li Shun
Farooq Azam Rathore
author_sort Julia Patrick Engkasan
collection DOAJ
description Neurogenic bladder is one of the negative consequences following a spinal cord injury (SCI). SCI patients who have neurogenic bladder depend on alternative methods to drain urine from their bladder. These include indwelling catheters, reflex voiding , suprapubic tapping and intermittent catheterisation. This review summarizes evidence from the literature of five selected complications (renal failure, urinary tract infections, calculi, urethral stricture, and bladder cancer) that could result from use of the different bladder drainage methods. There is inconsistent evidence to support the superiority of intermittent over indwelling catheterisation on risk of renal impairment, urethral stricture, and renal calculi. Indwelling catheterisations are associated with higher risk of bladder calculi and cancer. Caution needs to be taken when interpreting this review, as many of its findings are from retrospective studies, and more than a decade old. Clinicians need to communicate the evidence to their patients when making the decision on method of bladder drainage. Keywords: Rehabilitation Catheterisation Incontinence Urology Paraplegia Renal failure.
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spelling doaj.art-a84b07d2bb8940be95e6f6d33faa09652023-09-15T04:52:48ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822023-09-01731010.47391/JPMA.23-77Bladder drainage options for people with spinal cord injury: A Mini-ReviewJulia Patrick Engkasan0Chua Li Shun1Farooq Azam Rathore2Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur Malaysia;Department of Rehabilitation Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur MalaysiaDepartment of Rehabilitation Medicine, Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi Neurogenic bladder is one of the negative consequences following a spinal cord injury (SCI). SCI patients who have neurogenic bladder depend on alternative methods to drain urine from their bladder. These include indwelling catheters, reflex voiding , suprapubic tapping and intermittent catheterisation. This review summarizes evidence from the literature of five selected complications (renal failure, urinary tract infections, calculi, urethral stricture, and bladder cancer) that could result from use of the different bladder drainage methods. There is inconsistent evidence to support the superiority of intermittent over indwelling catheterisation on risk of renal impairment, urethral stricture, and renal calculi. Indwelling catheterisations are associated with higher risk of bladder calculi and cancer. Caution needs to be taken when interpreting this review, as many of its findings are from retrospective studies, and more than a decade old. Clinicians need to communicate the evidence to their patients when making the decision on method of bladder drainage. Keywords: Rehabilitation Catheterisation Incontinence Urology Paraplegia Renal failure. https://ojs.jpma.org.pk/index.php/public_html/article/view/10925
spellingShingle Julia Patrick Engkasan
Chua Li Shun
Farooq Azam Rathore
Bladder drainage options for people with spinal cord injury: A Mini-Review
Journal of the Pakistan Medical Association
title Bladder drainage options for people with spinal cord injury: A Mini-Review
title_full Bladder drainage options for people with spinal cord injury: A Mini-Review
title_fullStr Bladder drainage options for people with spinal cord injury: A Mini-Review
title_full_unstemmed Bladder drainage options for people with spinal cord injury: A Mini-Review
title_short Bladder drainage options for people with spinal cord injury: A Mini-Review
title_sort bladder drainage options for people with spinal cord injury a mini review
url https://ojs.jpma.org.pk/index.php/public_html/article/view/10925
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