Spinal Cord Injury
Conditions
Keywords
spinal cord injury, urodynamics, ultrasound, neurogenic bladder dysfunction
Brief summary
Video-urodynamic investigations are regarded as the current standard diagnostics for neurogenic bladder dysfunction in patients with spinal cord injury. This examination is exact, but time consuming, costly and associated with the risk of urinary tract infection. In patients with lower urinary tract symptoms due to benign prostate hyperplasia, sonographic measurement of bladder wall thickness has been demonstrated to be able to replace urodynamic testing for the diagnosis of infravesical obstruction. Hypothesis: measurement of bladder wall thickness in patients with neurogenic bladder dysfunction due to spinal cord injury is closely related to the known risk factors for upper urinary tract deterioration (bladder compliance, detrusor leak point pressure) in this group of patients and can therefore replace urodynamic examination in selected cases.
Interventions
measurement of bladder wall thickness by ultrasound at different filling states of the bladder during urodynamic investigation
Sponsors
Study design
Eligibility
Inclusion criteria
* neurogenic bladder dysfunction due to spinal cord injury * ability to understand German language * willingness and capability to undergo urodynamic testing * age \> or = 18 years
Exclusion criteria
* acute urinary infection at the time of examination * known bladder tumor or bladder stone * age \< 18 years * not capable to understand aim and purpose of the examination
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| correlation bladder wall thickness and detrusor compliance | calculated from maximum bladder filling | measurement of detrusor compliance at maximum bladder volume; measurement of bladder wall thickness at maximum bladder volume |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| correlation bladder wall thickness and maximum detrusor pressure | measurement at maximum bladder capacity | correlation between bladder wall thickness and maximum detrusor pressure during the urodynamic storage phase |
Countries
Switzerland