Most patients with spinal cord injury suffer from bladder dysfunction which may - especially in the long-term - impair renal function. Improved treatment during the last decades improved life expectancy and quality of life. This study evaluates the bladder function in the long-term after spinal cord injury.
Bladder dysfunction is a common consequence of spinal cord injury and depends on the completeness and the level of the lesion. Patients with suprasacral injury usually suffer from neurogenic detrusor overactivity mostly combined with detrusor sphincter dyssynergia. Without adequate treatment, this adverse combination puts the upper urinary tract at risk due to high intravesical pressure often causing vesico-ureteral reflux. Based on improved therapeutic options in the last decades, life expectancy and quality of life constantly increased in spinal cord injury patients. The investigators aim to evaluate the bladder function in the long-term after spinal cord injury.
Study Type
OBSERVATIONAL
Enrollment
55
Spinal Cord Injury Center & Research, University of Zürich, Balgrist University Hospital
Zurich, Canton of Zurich, Switzerland
Urodynamic evaluation
Max. cystometric capacity, compliance, detrusor leak point pressure
Time frame: 5 years after SCI, yearly thereafter (participants are followed until death)
secondary complications
recurrent tract infection, deterioration of the upper urinary tract
Time frame: 5 years after SCI, yearly thereafter (participants are followed until death)
imaging of the upper urinary tract
videocystography, ultrasound
Time frame: 5 years after SCI, yearly thereafter (participants are followed until death)
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