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The purpose of this study is to investigate the incidence of reflux in patients with spinal cord injury in relation to the lesion level, duration of injury and bladder management
Vesico-ureteral reflux was the main cause for renal failure and reduced life expectancy in patients with neurogenic bladder dysfunction due to spinal cord injury. Neurogenic detrusor overactivity leads to high intravesical pressure and may induce reflux. Decreasing intravesical pressure and increasing bladder capacity is necessary to prevent reflux and secondary renal failure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Spinal cord injury | Patients with neurogenic lower urinary tract dysfunction due to spinal cord injury with regular urodynamic examination |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| video-urodynamic examination | Procedure | Assessment of bladder function during video urodynamic determine of incidence degree and localization of vesico ureteral reflux based on the result of video urodynamics |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and degree of vesico ureter renal reflux | video urodynamic, ultrasound examination | average: yearly scheduled control |
| Measure | Description | Time Frame |
|---|---|---|
| pdet (cmH2O) | urodynamic parameter, detrusor pressure | average: yearly scheduled control |
| Medication | name of drugs and applied dosis |
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Inclusion Criteria:
Exclusion Criteria:
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Ages Eligibility: minimum 18 years Genders Eligibility: female and male
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Spinal Cord Injury Center & Research, University of Zürich, Balgrist University Hospital | Zurich | Canton of Zurich | 8008 | Switzerland |
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| ID | Term |
|---|---|
| D014718 | Vesico-Ureteral Reflux |
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D001745 | Urinary Bladder Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| average: yearly scheduled examination |
| possible complications | urinary tract infection, pyelonephritis, renal dysfunction | average: yearly scheduled examination |
| maximum cystometric capacity | the volume at which a patient, with normal sensation, fells he/she can no longer delay micturition | average: yearly scheduled control |
| compliance mL/cmH2O | Compliance is the change in volume divided by change in detrusor pressure expressed as mL/cmH2O. | average: yearly scheduled control |
| bladder management | most common: intermittent catheterisation, indwelling catheter, external condom urinal for male patients | average: yearly scheduled control |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
| D014947 | Wounds and Injuries |