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Titolo:
CLEAN INTERMITTENT CATHETERIZATION AND PREVENTION OF RENAL-DISEASE INSPINAL-CORD INJURY PATIENTS
Autore:
GIANNANTONI A; SCIVOLETTO G; DISTASI SM; SILECCHIA A; FINAZZIAGRO E; MICALI I; CASTELLANO V;
Indirizzi:
IRCCS,REHABIL HOSP S LUCIA,VIA ARDEATINE 306 I-00179 ROME ITALY UNIV ROMA TOR VERGATA ROME ITALY
Titolo Testata:
Spinal cord
fascicolo: 1, volume: 36, anno: 1998,
pagine: 29 - 32
SICI:
1362-4393(1998)36:1<29:CICAPO>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
SELF-CATHETERIZATION; FOLLOW-UP; COMPLICATIONS; MANAGEMENT; BLADDER;
Keywords:
UPPER URINARY TRACT DYSFUNCTION; SPINAL CORD INJURY; INTERMITTENT CATHETERIZATION; URODYNAMICS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
21
Recensione:
Indirizzi per estratti:
Citazione:
A. Giannantoni et al., "CLEAN INTERMITTENT CATHETERIZATION AND PREVENTION OF RENAL-DISEASE INSPINAL-CORD INJURY PATIENTS", Spinal cord, 36(1), 1998, pp. 29-32

Abstract

Upper urinary tract complications have been reported in about 20-30% of spinal cord injury patients. Their pathogenesis is linked to the presence of high-pressure uninhibited detrusor contractions, high leak point pressure and low bladder compliance. The aim of this study was toevaluate the incidence of upper urinary tract complications in two homogeneous groups of spinal cord injury patients with different bladderemptying modalities (intermittent catheterization vs. tapping, abdominal straining, Crede's manoeuvre) and the relationship with clinic andurodynamic features. A total of 17 patients (22%) had upper urinary tract complications. The incidence of both urinary tract dilatation andvesicoureteral reflux was significantly lower in patients having intermittent catheterization (P=0.03 and 0.04 respectively). Intermittent catheterization thus seems to be effective in preventing upper urinarytract disease in spinal cord injury patients requiring mechanical bladder emptying modalities. The finding of upper urinary tract complications also in patients having intermittent catheterization showing highintravesical pressures stresses the need of adding anticholinergic medications to the rehabilitation regimen of these patients.

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Documento generato il 03/07/20 alle ore 00:49:26