Urodynamic Assessment of Bladder Behaviour in Traumatic Spinal Cord Injury (SCI) Patients in Response to Rehabilitation: Findings from a Government Tertiary Care Hospital in Bihar, India

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dc.contributor.authorSinha, Mani Bhushanen_US
dc.contributor.authorSingh, Anutoshen_US
dc.contributor.authorRanjan, Rajeshen_US
dc.contributor.authorRanjan, Rajiven_US
dc.contributor.authorArya, Dheeraj Prakashen_US
dc.contributor.authorSharma, Ruchitaen_US
dc.date.accessioned2020-01-02T06:12:16Z
dc.date.available2020-01-02T06:12:16Z
dc.date.issued2019-01
dc.description.abstractThe objective of the study was to document the bladder behaviour in response to rehabilitation intervention in patients with traumatic spinal cord injury (SCI) using urodynamic study (UDS). Additionally, it also aimed to compare the nature of the bladder in a rehabilitated and non- rehabilitated neurogenic bladder of traumatic SCI. Study design: The study adopted a prospective follow-up design. Setting: Department of Physical and Rehabilitation Medicine, Jawahar Lal Nehru Medical College and Hospital (JLNMCH), Bhagalpur, Bihar, India. Methods: One hundred and thirty traumatic SCI patients mean age 31.3±7.8 years, 113 males and 17 females, admitted for rehabilitation were done UDS to see the bladder behaviour in response to rehabilitation intervention and compare the nature of bladder of the rehabilitated and that of the non-rehabilitated neurogenic bladder. Result: There were significant changes in the max. cystometric capacity (p=0.019) after rehab intervention in upper motor neuron (UMN) neurogenic bladders. The compliance, Pdet. at first desire to void and Pdet. at max. cystometric capacity were also found to have significant correlations (p=0.010, 0.010 and 0.013 respectively) in those with UMN neurogenic bladders. However, the volume at the first desire to void did not show significant changes after rehabilitation intervention (p=0.54). Significant decrease in amplitude and frequency was found in involuntary contractions (detrusor hyper-reflexia). In lower motor neuron (LMN) neurogenic bladder significant changes after rehabilitation intervention was found only in the max. cystometric capacity (p=0.015). Conclusion: Based on these findings we conclude that the change in the nature of the rehabilitated neurogenic bladder is different with the type of bladder.en_US
dc.identifier.affiliationsAssistant Pr.en_US
dc.identifier.affiliationsSenior Resident, Department of Neurosurgery, LNJP Hospital, MAMC, New Delhi.en_US
dc.identifier.affiliationsAssociate Professor, Department of Community Medicine, SIMS, Pilkhuwa, Uttar Pradesh.en_US
dc.identifier.affiliationsSenior Resident, Department of General Surgery, MAMC and associated LNH Hospital, New Delhi.en_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, World Medical College and reserve hospital, Jhajjar, Haryana.en_US
dc.identifier.affiliationsSenior Resident, Department of Obstetrics & Gynaecology, VMMC & Safdarjung Hospital, New Delhien_US
dc.identifier.citationSinha Mani Bhushan, Singh Anutosh, Ranjan Rajesh, Ranjan Rajiv, Arya Dheeraj Prakash, Sharma Ruchita. Urodynamic Assessment of Bladder Behaviour in Traumatic Spinal Cord Injury (SCI) Patients in Response to Rehabilitation: Findings from a Government Tertiary Care Hospital in Bihar, India. Annals of International medical and Dental Research. 2019 Jan; 5(1): 9-13en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/189328
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber1en_US
dc.relation.volume5en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2019.5.1.MC3en_US
dc.subjectTraumaen_US
dc.subjectSpinal Cord Injuryen_US
dc.subjectRehabilitationen_US
dc.titleUrodynamic Assessment of Bladder Behaviour in Traumatic Spinal Cord Injury (SCI) Patients in Response to Rehabilitation: Findings from a Government Tertiary Care Hospital in Bihar, Indiaen_US
dc.typeJournal Articleen_US
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