Spinal Cord Injuries
Conditions
Brief summary
Urinary dysfunction is very common in individuals with spinal cord injury. The urine flowing from the collecting ducts to the renal calyx stretches the calyces. ANS controlled peristaltic contractions originate in the proximal renal pelvis and travel down the ureters, pushing urine from the renal pelvis towards the bladder. The urine bolus delivered from the kidneys through the peristaltic contraction of the ureter creates an image called ureteric jet. Using the Doppler analysis of ureteral jets, previous studies have examined the changes in the ureteric jet pattern in pathological conditions such as the diagnosis of normal ureteral physiology.
Detailed description
This cross-sectional study was conducted at a tertiary rehabilitation center. Eighteen spinal cord injury patients who met the inclusion criteria and 24 healthy volunteers were included in the study. The appearance of üreteric jet form and bladder wall thicknesses were obtained by urinary Doppler ultrasound both in patient and control groups. Detrusor pressure and bladder volume were measured only in patient group during urodynamic assessment.
Interventions
DIAGNOSTIC_TESTDoppler ultrasound, Urodynamic assessment.
The patients included in the study group were given 600 cc of water in the morning and the Doppler ultrasound was performed 30 minutes later
DIAGNOSTIC_TESTUrodynamic assessment.
A transurethral double lumen catheter was used to measure intravesical pressure in the urodynamic unit for the patients in the study group immediately after the use of the Doppler USG
Sponsors
Gaziler Physical Medicine and Rehabilitation Education and Research Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
The case group Inclusion Criteria: * With signs of upper motor neuron lesion, * Suprasacral spinal cord injury, * Normal urinary ultrasound findings * Planned urodynamics
Exclusion criteria
* Neurological disease other than spinal cord injury * Urinary tract infection * Urinary obstruction * History of urinary tract Stones * Diabetes, hypertension * History of urinary surgery, * Sacral injury * Second motor neuron lesions (such as cauda equina, or cauda conus) The control group Inclusion Criteria: • Normal urinary ultrasonography
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| doppler USG | 15-30 minute | The patients included in the study group were given 600 cc of water in the morning and the Doppler USG was performed 30 minutes later |
| Urodynamic assessment. | 30 minute | A transurethral double lumen catheter was used to measure intravesical pressure in the urodynamic unit |
Countries
Turkey (Türkiye)
Outcome results
None listed