Neurogenic Bladder
Conditions
Keywords
urinary tract infection, urodynamics, spinal cord injury
Brief summary
The purpose of this study is to evaluate the incidence of urinary tract infection after urodynamic investigation and to identify the involved germs.
Detailed description
Patients with neurogenic bladder dysfunction after spinal cord injury need lifelong urologic control examinations with CMG (urodynamic examination). The manipulation may cause urinary tract infections which have to be treated. Patients often noticed an infection after a CMG examination. Aim of this study is the determination of the infection rate and germs. Also should be noticed the pre-interventional infections and differences between the causing germs. Simultaneously the investigators test the reliability of the quicktest for urinary infection. Additionally the investigators will examine the Quality of Life in patients with neurogenic bladder dysfunction.
Interventions
PROCEDUREurodynamic examination
Standard urodynamic investigation according to the ICS standard, Good urodynamic practice.Following insertion of 8 F transurethral catheter, retrograde filling of the bladder (20 mL/min) with body warm saline. Current recording of pabd. , pves and pdet., subsequently pressure flow study. Additionally imaging with fluoroscopy to detect possible vesico ureteral renal reflux.
Sponsors
Balgrist University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patients with neurogenic lower urinary tract dysfunction with scheduled urodynamic investigation * No antibiotic treatment * Written informed consent
Exclusion criteria
* Pregnancy and breastfeeding * Current antibiotic therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of urinary tract infection following urodynamic investigation | 3 days after urodynamic investigation | every patient receives the urine examination before the urodynamic investigation and hospitalized patients additionally 3 days later and ambulatory patients in case of urinary tract infection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Name and number of identified bacterial species | 30 minutes before examination | — |
| Number of hospitalized and number of ambulatory patients with infection of the lower urinary tract | 3 days after examination | — |
| Incidence of urinary tract infection before urodynamic investigation | 30 minutes before urodynamic investigation | every patient receives the urine examination before the urodynamic investigation to detect a potentially urinary tract infection |
Countries
Switzerland
Outcome results
None listed