Yıl: 2021 Cilt: 67 Sayı: 2 Sayfa Aralığı: 225 - 232 Metin Dili: İngilizce DOI: 10.5606/tftrd.2021.5817 İndeks Tarihi: 23-05-2022

Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey

Öz:
Objectives: This study aims to determine the current trends in evaluation and management of neurogenic bladder secondary to spinal cord injury (SCI) among Physical Medicine and Rehabilitation (PMR) specialists in Turkey. Materials and methods: Between September 2013 and November 2013, a total of 100 PMR specialists from 18 different provinces of Turkey were included in the study. A 23-item questionnaire was developed to evaluate the current practice on assessment and follow-up of upper and lower urinary tract dysfunction. The questionnaire was delivered via e-mail to the participants routinely providing care for patients with SCI and all responses were obtained electronically. Results: For surveillance of the upper urinary tract dysfunction, 93% of the participants preferred ultrasonography. A total of 59% of the participants favored an annual assessment and 36% preferred six-month intervals. Multichannel urodynamics, voiding cystourethrography combined with urodynamics, and video-urodynamics were preferred by 62%, 25%, and 10% of the participants, respectively for surveillance of the lower urinary tract. Urodynamic evaluation was performed annually by 51% of the participants. In patients with detrusor overactivity unresponsive to the combination of intermittent catheterization (IC) and anticholinergic agents, 66% preferred to increase the dose and 22% preferred to switch to another medication. For treatment of areflexic bladder, 78% preferred IC and 12% preferred the Credé' or Valsalva maneuvers. Treatment of asymptomatic bacteriuria was not favored in patients on IC and indwelling urethral catheter by 33% and 44% of the participants respectively. Totally, 84% participants preferred to administer antibiotics for 10 to 14 days for the treatment of symptomatic urinary tract infection. Conclusion: Our study results indicate that there are some differences in the current practice of PMR specialists for surveillance and management of SCI patients with neurogenic bladder. These results also emphasize the need for development of guidelines and implementation of continuous medical education activities in this field.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Consortium for Spinal Cord Medicine. Bladder management for adults with spinal cord injury: A clinical practice guideline for health-care providers. J Spinal Cord Med 2006;29:527-73.
  • 2. Abrams P, Agarwal M, Drake M, El-Masri W, Fulford S, Reid S, et al. A proposed guideline for the urological management of patients with spinal cord injury. BJU Int 2008;101:989-94.
  • 3. Akkoç Y, Ersöz M, Yıldız N, Erhan B, Alaca R, Gök H, et al. Effects of different bladder management methods on the quality of life in patients with traumatic spinal cord injury. Spinal Cord 2013;51:226-31.
  • 4. Stöhrer M, Blok B, Castro-Diaz D, Chartier-Kastler E, Del Popolo G, Kramer G, et al. EAU guidelines on neurogenic lower urinary tract dysfunction. Eur Urol 2009;56:81-8.
  • 5. Canupp KC, Waites KB, DeVivo MJ, Richards JS. Predicting compliance with annual follow-up evaluations in persons with spinal cord injury. Spinal Cord 1997;35:314-9.
  • 6. Bycroft J, Hamid R, Bywater H, Patki P, Craggs M, Shah J. Variation in urological practice amongst spinal injuries units in the UK and Eire. Neurourol Urodyn 2004;23:252-6.
  • 7. Dunn M, Love L, Ravesloot C. Subjective health in spinal cord injury after outpatient healthcare follow-up. Spinal Cord 2000;38:84-91.
  • 8. Kitahara S, Iwatsubo E, Yasuda K, Ushiyama T, Nakai H, Suzuki T, et al. Practice patterns of Japanese physicians in urologic surveillance and management of spinal cord injury patients. Spinal Cord 2006;44:362-8.
  • 9. Blok BF, Karsenty G, Corcos J. Urological surveillance and management of patients with neurogenic bladder: Results of a survey among practicing urologists in Canada. Can J Urol 2006;13:3239-43.
  • Management of neurogenic bladder patients in The Netherlands: Do urologists follow guidelines? Neurourol Urodyn 2008;27:758-62.
  • 11. Denys P, Soler JM, Fatton B, Rischmann P, Yelnik A, Aegerter P, et al. Management of neurogenic bladder patients in France: A survey carried out by the Frenchspeaking neurourology study group (GENULF). Prog Urol 2012;22:540-8.
  • 12. Al Taweel W, Alkhayal A. Neurogenic bladder evaluation and management after spinal cord injury: Current practice among urologists working in Saudi Arabia. Urol Ann 2011;3:24-8.
  • s JQ; NIDDK Urological Diseases in America Project. Urological surveillance and medical complications after spinal cord injury in the United States. Urology 2015;86:506-10. 14. Linsenmeyer TA, Linsenmeyer MA. Impact of annual urodynamic evaluations on guiding bladder management in individuals with spinal cord injuries. J Spinal Cord Med 2013;36:420-6.
  • Group, Yıldız N, Akkoç Y, Erhan B, Gündüz B, Yılmaz B, Alaca R, et al. Neurogenic bladder in patients with traumatic spinal cord injury: Treatment and follow-up. Spinal Cord 2014;52:462-7.
  • 16. Yılmaz B, Akkoç Y, Alaca R, Erhan B, Gündüz B, Yıldız N, et al. Intermittent catheterization in patients with traumatic spinal cord injury: Obstacles, worries, level of satisfaction. Spinal Cord 2014;52:826-30.
  • 17. Przydacz M, Chlosta P, Corcos J. Recommendations for urological follow-up of patients with neurogenic bladder secondary to spinal cord injury. Int Urol Nephrol 2018;50:1005-16.
  • 18. Fox JA, Dudley AG, Bates C, Cannon GM Jr. Cystatin C as a marker of early renal insufficiency in children with congenital neuropathic bladder. J Urol 2014;191(5 Suppl):1602-7.
  • 19. Mirahmadi MK, Byrne C, Barton C, Penera N, Gordon S, Vaziri ND. Prediction of creatinine clearance from serum creatinine in spinal cord injury patients. Paraplegia 1983;21:23-9.
  • 20. Groen J, Pannek J, Castro Diaz D, Del Popolo G, Gross T, Hamid R, et al. Summary of European Association of Urology (EAU) guidelines on neuro-urology. Eur Urol 2016;69:324-33.
APA Akkoc Y, Ersoz M, Çınar E, GÖK H (2021). Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. , 225 - 232. 10.5606/tftrd.2021.5817
Chicago Akkoc Yesim,Ersoz Murat,Çınar Ece,GÖK HAYDAR Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. (2021): 225 - 232. 10.5606/tftrd.2021.5817
MLA Akkoc Yesim,Ersoz Murat,Çınar Ece,GÖK HAYDAR Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. , 2021, ss.225 - 232. 10.5606/tftrd.2021.5817
AMA Akkoc Y,Ersoz M,Çınar E,GÖK H Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. . 2021; 225 - 232. 10.5606/tftrd.2021.5817
Vancouver Akkoc Y,Ersoz M,Çınar E,GÖK H Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. . 2021; 225 - 232. 10.5606/tftrd.2021.5817
IEEE Akkoc Y,Ersoz M,Çınar E,GÖK H "Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey." , ss.225 - 232, 2021. 10.5606/tftrd.2021.5817
ISNAD Akkoc, Yesim vd. "Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey". (2021), 225-232. https://doi.org/10.5606/tftrd.2021.5817
APA Akkoc Y, Ersoz M, Çınar E, GÖK H (2021). Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. Turkish Journal of Physical Medicine and Rehabilitation, 67(2), 225 - 232. 10.5606/tftrd.2021.5817
Chicago Akkoc Yesim,Ersoz Murat,Çınar Ece,GÖK HAYDAR Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. Turkish Journal of Physical Medicine and Rehabilitation 67, no.2 (2021): 225 - 232. 10.5606/tftrd.2021.5817
MLA Akkoc Yesim,Ersoz Murat,Çınar Ece,GÖK HAYDAR Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. Turkish Journal of Physical Medicine and Rehabilitation, vol.67, no.2, 2021, ss.225 - 232. 10.5606/tftrd.2021.5817
AMA Akkoc Y,Ersoz M,Çınar E,GÖK H Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(2): 225 - 232. 10.5606/tftrd.2021.5817
Vancouver Akkoc Y,Ersoz M,Çınar E,GÖK H Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey. Turkish Journal of Physical Medicine and Rehabilitation. 2021; 67(2): 225 - 232. 10.5606/tftrd.2021.5817
IEEE Akkoc Y,Ersoz M,Çınar E,GÖK H "Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey." Turkish Journal of Physical Medicine and Rehabilitation, 67, ss.225 - 232, 2021. 10.5606/tftrd.2021.5817
ISNAD Akkoc, Yesim vd. "Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey". Turkish Journal of Physical Medicine and Rehabilitation 67/2 (2021), 225-232. https://doi.org/10.5606/tftrd.2021.5817