Abstract
Six patients with neurogenic bladder secondary to spinal cord injury were seen in our Centre for routine follow-up. All of these individuals had attained the catheter-free state by various means and were, by their standards, functioning very well. They had gone from 6 months to 2½ years without genito-urinary re-evaluations. One individual had a normal urogram i year after catheter removal and then 2 years later was noted to have bilateral hydronephrosis. Development of silent hydronephrosis in the catheter-free state, its treatment, and a regimen for following patients are discussed.
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References
Ascoli, R & Franch, L (1970). The dilation of the upper urinary tract in paraplegics. International Journal of Paraplegia, 8, 196–198.
Butler, E D Jr, Friedland, G W & Govan, D (1971). A radiological study of the effect of elevated intravesical pressure on urethral calibre and peristalsis in patients with neurogenic bladder dysfunction. Clinical Radiology, 22, 198–204.
Damanski, M & Gibbon, H (1956). The upper urinary tracts in the paraplegic: a long term survey. British Journal of Urology, 28, 24–36.
Hutch, J A & Bunts, R C (1951). The present status of the war-time paraplegic. Journal of Urology, 66, 218–228.
Nanninga, J B, Rosen, J & O'Conor, V J, Jr. (1974). Experience with transurethral external sphincterotomy in patients with spinal cord injury. Journal of Urology, 112, 72–74.
Ross, J Cosbie (1963). Surgical treatment of hydronephrosis in paraplegia. International Journal of Paraplegia, 1, 137–148.
Talbot, H S & Bunts, R C (1940). Late renal changes in paraplegia: hydronephrosis due to vesico-ureteral reflux. Journal of Urology, 61, 870–880.
Thomas, G G, Zachary, R B & Lister, J (1974). Serial followup studies in spina bifida infants. Journal of Pediatric Surgery, 9, 471–476.
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Rosen, J., Nanninga, J. & O'Conor, V. Silent hydronephrosis, a hazard revisited. Spinal Cord 14, 124–129 (1976). https://doi.org/10.1038/sc.1976.21
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DOI: https://doi.org/10.1038/sc.1976.21
