Health Condition 1: N31- Neuromuscular dysfunction of bladder, not elsewhere classified Health Condition 2: N318- Other neuromuscular dysfunction ofbladder
Conditions
Interventions
Intervention1: Bilateral Pudendal Nerve Block as add on therapy with conservative management: In this study, patients with detrusor sphincter dyssynergia secondary to spinal cord injury will be enlist
Sponsors
IPGMER AND SSKM HOSPITAL KOLKATA WEST BENGAL
Eligibility
Inclusion criteria
Inclusion criteria: 1)UDS confirmed detrusor sphincter dyssynergia secondary to traumatic spinal cord injury 2)Traumatic Spinal Cord Injury(SCI) of more than 3 months duration 3)SCI in AIS stage A,B 4)Patient able to and willing to perform CIC. 5)Patient mentally sound enough to communicate and participate in the study and can understand the parameters well.
Exclusion criteria
Exclusion criteria: 1)Urinary Tract Infection 2)Painful bladder syndrome or Interstitial Cystitis 3)Non-traumatic SCI 4)SCI in AIS stage C,D 5)Patient with indwelling catheter 6)Bladder stone 7)BHP or Prostatic cancer 8)Bleeding diathesis 9)Neuromuscular transmission disorder (e.g. myasthenia gravis, Eaton-lambert syndrome) 10)The presence of an unstable medical condition or a known uncontrolled systemic disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| USG guided bilateral pudendal nerve block has a very good outcome as an add on treatment with conservative therapy in terms of improvement of maximum cystometric capacity, post void residual urine, Frequency of Incontinence/ retention of urine.Timepoint: At baseline, at 6 weeks and 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| patient may have decreased Post void residual urine at 3 months but maximum cystometric capacity may not increased up to 3 monthsTimepoint: At base line, at 6 weeks & 3 months. | — |
Countries
India
Contacts
Public ContactDR RAJESH PRAMANIK
IPGMER AND SSKM HOSPITAL
Outcome results
None listed