Health Condition 1: null- SPINAL CORD INJURY WITH BLADDER DYSFUNCTION
Conditions
Interventions
Intervention1: Bilateral pudendal nerve block using 5% aqueous phenol: Bilateral pudendal nerve block using 5% aqueous phenol in patients of DETRUSSOR SPHINCTER DYSSYNERGIA in spinal cord injury patie
Sponsors
IPGMER
Eligibility
Inclusion criteria
Inclusion criteria: Patients having spinal cord pathology with voiding difficulty The presence of hypertonicity of external urethral sphincter with detrusor contractions on urodynamic assessment
Exclusion criteria
Exclusion criteria: The presence of bladder neck obstruction Severe hypertrophy of prostate glands on physical examination Laboratory-confirmed coagulation abnormalities Inflammation or infection of the perineal area A previous history of pelvic surgery, history of prolapsed, impending prolapse Non cooperative patients Patients hypersensitive to phenol Patients responding to oral medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pudendal nerve block with 5% aqueous phenol showed statistically significant improvement in â?? â?¢ Post residual volume â?¢ Maximum bladder capacity â?¢ Leak point pressure â?¢ Maximum detrussor pressure â?¢ Volume at 1st contraction Timepoint: Before intervention, at 1 month, at 3 month | — |
Secondary
| Measure | Time frame |
|---|---|
| In our study group males were predominant sufferers All of the Neurological Level of Injury were at the thoracic level Improvement of all parameters were quite immediate and sustained upto 3 months Statistically significant improvement in FIM score was seen after pudendal nerve block and sustained throughout the study period with a p value less than 0.001. All the patient became independent in bladder management. Timepoint: 0 weeks, 3 months | — |
Countries
India
Contacts
Public ContactDR RAJESH PRAMANIK
Malda Medical college
Outcome results
None listed