SYSTEMATIC REVIEW OF URODYNAMIC EVALUATION IN PATIENTS AFTER SPINAL CORD INJURY

Abstract

Introduction The world-widely acknowledged method of diagnosing dysfunctions in the lower urinary tract is urodynamic study (UDS), however many of patients with adult neurogenic lower urinary tract dysfunction (ANLUTD) have not undergone this test or have been examined a couple of years after the spinal cord injury (SCI). Recent studies provide evidence of significance UDS in precise diagnosis and monitoring of ANLUTD. Aim The aim of this article is to analyze the value of UDS in the management of neurogenic bladder in patients after. Material and methods Research was performed on the databases Pubmed and Web of Science. Results Out of 2012 articles found by performing the above research procedure, 9 matched the inclusions criteria and were analyzed. Discussion One study showed significant differences in those groups regarding maximum cystometric capacity and volume at first involuntary contraction. Other authors proved significant differences in bladder function among groups with different C and L level of injuries. In follow up patients with maximum cystometric (MCC) capacity < 200 ml experienced significantly more often (p = 0.019) UUT deterioration than those with MCC ≥ 200 ml. In the study with annual UDS, 47.9% of the patients needed at least one type of intervention (in 82.6% of cases – urological interventions) basing on their UDS. None of those patients complained of new urological symptoms since their previous. Conclusions UDS should be performed as a standard examination in patients after SCI. Regular follow up UDS should be performed for prevention UUT deterioration. Keywords: spinal cord injury, urodynamic study, adult neurogenic lower urinary tract dysfunction.