Annals of Rehabilitation Medicine

"Urinary catheterization"

Original Article

Changes in the Trend in Bladder Emptying Methods in Patients With Spinal Cord Injury: A 20-Year Single-Center Retrospective Study: Sang-Wook Oh, Joo Hwan Jung, In Kyoung Cho, Hye Jin Lee, Seung Hyun Kwon, Bum Suk Lee; Ann Rehabil Med 2020;44(3):228-237. Published online June 30, 2020; DOI: https://doi.org/10.5535/arm.19107

Abstract
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Objective
To review trends in bladder emptying methods over a 20-year period in patients with spinal cord injury (SCI) by severity according to the American Spinal Injury Association impairment scale (AIS).
Methods
Medical records of patients with SCI from 1994 to 1998 (group 1) and from 2012 to 2016 (group 2) were retrospectively reviewed. We classified bladder emptying methods according to the International Spinal Cord dataset. We grouped patients with normal voiding, bladder reflex triggering, and bladder expression as those using voiding without catheter.
Results
A total of 667 patients were included in the analysis. The proportion of patients using voiding without catheter and intermittent catheterization decreased from 67.0% to 30.0% and increased from 26.8% to 54.8%, respectively. In patients with AIS-A and AIS-B, the proportion of patients with intermittent catheterization increased from 32.8% to 73.3%. In patients with AIS-D, the proportion of patients using voiding without catheter and intermittent catheterization decreased from 88.5% to 68.9% and increased from 11.5% to 26.8%, respectively. In group 2, among 111 patients with AIS-D using voiding without catheter at admission, 8 (7.2%) switched to intermittent catheterization at discharge due to decreased bladder volume, increased post-voiding residual urine, or incontinence.
Conclusion
Over the past 20 years, trends in bladder emptying methods in patients with SCI changed from voiding without catheter to intermittent catheterization in Korea. This was especially prominent in patients with AIS-A, AIS-B, and AIS-C. Even in patients with AIS-D, the use of intermittent catheterization at hospital discharge increased.

Citations

Citations to this article as recorded by

Changes in bladder emptying during inpatient rehabilitation after spinal cord injury and predicting factors: data from the Dutch Spinal Cord Injury Database
Claire G. Poublon, Eline W. M. Scholten, Michel I. A. Wyndaele, Marcel W. M. Post, Janneke M. Stolwijk-Swüste
Spinal Cord.2023; 61(11): 624. CrossRef
Should We Delay Urodynamic Study When Patients With Spinal Cord Injury Have Asymptomatic Pyuria?
EunYoung Kim, Hye Jin Lee, Onyoo Kim, In Suk Park, Bum-Suk Lee
Annals of Rehabilitation Medicine.2021; 45(3): 178. CrossRef

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Case Report

Ureteral Rupture Caused by a Suprapubic Catheter in a Male Patient With Spinal Cord Injury: A Case Report: Hye Jung Choi, Chang Han Lee, Heesuk Shin; Ann Rehabil Med 2016;40(6):1140-1143. Published online December 30, 2016; DOI: https://doi.org/10.5535/arm.2016.40.6.1140

Abstract
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Spinal cord injury (SCI) may lead to urinary system disturbances. Patients with SCI usually have neurogenic bladder, and treatment optionss for this condition include clean intermittent catheterization and a permanent indwelling urethral or suprapubic catheter. Complications of catheterization include urinary tract infection, calculi, urinary tract injury, bladder contraction, bladder spasm, renal dysfunction, bladder cancer, and so forth. To the best of our knowledge, ureteral rupture is an unusual complication of catheterization, and ureteral rupture has been rarely reported in SCI patients. Therefore, here we report a case of ureteral rupture caused by a suprapubic catheter used for the treatment of neurogenic bladder with vesicoureteral reflux in a male patient with SCI. Due to SCI with neurogenic bladder, ureteral size can be reduced and the suprapubic catheter tip can easily migrate to the distal ureteral orifice. Thus, careful attention is required when a catheter is inserted into the bladder in patients with SCI.

Citations

Citations to this article as recorded by

Inappropriate placement of urinary catheters into the ureter: A case report and literature review
Jiun-Jia Li, Chin-Fong Au
Medicine.2024; 103(15): e37623. CrossRef
Inadvertent ureteric cannulation following suprapubic catheter change – Case report and review of the literature
Alexander Ngoo, Jodi Hirst
Urology Case Reports.2022; 42: 102021. CrossRef
Palliative Harnblasenlangzeitdrainage: eine urogeriatrische Disputation
A. Wiedemann, R. Kirschner-Hermanns, H. J. Heppner
Der Urologe.2019; 58(4): 389. CrossRef
Case report. Een ongewone complicatie van suprapubische katheterisatie: accidentele plaatsing van de katheter in de ureter
Nicolas Vos, Eveline M. P. Broers, Elisabeth M. Groenewegen
Tijdschrift voor Urologie.2019; 9(8): 163. CrossRef