Incontinence, Neurogenic Bladder, Quality of Life, Spinal Cord Injuries
Conditions
Keywords
Urinary Bladder, Neurogenic, Quality of Life, Spinal cord injury, incontinence, Bladder
Brief summary
The investigators goal is to create a better understanding of patient reported outcomes for bladder management strategies (clean intermittent catheterization (CIC), indwelling catheter (IDC) and bladder surgery.
Detailed description
Our study is a longitudinal observational study between bladder management strategies, comparing outcomes measured by patient reported questionnaires.
Interventions
Clean intermittent self catheterization is a standard of care.
Indwelling catheterization is a standard of care.
Bladder surgery is a standard of care.
Voiding spontaneously is a standard of care.
Sponsors
Study design
Eligibility
Inclusion criteria
* Participants with acquired spinal cord injury * Participants with neurogenic bladder * Participants must be undergoing or starting at least one of the following bladder management treatments at the time of enrollment. a) Clean intermittent catheterization (CIC) b) Have an indwelling catheter (IDC) c) Spontaneous voiding, and d) Have undergone bladder surgery * Age 18 or older * Willingness and ability to comply with study engagement * Able to provide consent
Exclusion criteria
* Degenerative spinal cord issues, such as multiple sclerosis, neuromuscular dysfunction * Congenital spinal cord issues, such as spina bifida, myelomeningocele, or cerebral palsy * Participants that belong to a vulnerable population (pregnant, prisoners, mentally handicapped, etc) * Participants less than 18 years of age
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neurogenic Bladder Symptom Score (NBSS): comparing change in: CIC, IDC, Voiding, and Surgery | Baseline and 1 year longitudinal follow up | The NBSS quantifies bladder symptoms |
| The Spinal Cord Injury Quality of Life Measurement System Bladder Management Difficulties (SCI-QOL Difficulties): comparing change in: CIC, IDC, Voiding, and Surgery | Baseline and 1 year longitudinal follow up | The SCI-QoL Difficulties assesses feelings and psychosocial impact of bladder symptoms |
| The Spinal Cord Injury Quality of Life Measurement System Bladder Complications (SCI-QOL Complications): comparing change in: CIC, IDC, Voiding, and Surgery | Baseline and 1 year longitudinal follow up | The SCI-QoL Complications assesses degree of bladder complications their psychosocial impact |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| NBSS Incontinence subdomain | Baseline and 1 year longitudinal follow up | The Incontinence subdomain measures degree of incontinence |
| NBSS QoL Satisfaction | Baseline and 1 year longitudinal follow up | The final question of the NBSS assesses overall satisfaction with the urinary system |
| NBSS Storage and Voiding subdomain | Baseline and 1 year longitudinal follow up | The Storage and Voiding subdomain measures symptoms related to frequency and emptying of the bladder |
| NBSS Consequences subdomain | Baseline and 1 year longitudinal follow up | The Consequences subdomain measures bladder related complications |
Countries
United States