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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| spinal cord injury | patient with spinal cord injury |
| |
| no spinal cord injury | patient without spinal cord injury |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Doppler ultrasound, Urodynamic assessment. | Diagnostic Test | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| doppler USG | 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 | 15-30 minute |
| Urodynamic assessment. | A transurethral double lumen catheter was used to measure intravesical pressure in the urodynamic unit | 30 minute |
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The case group
Inclusion Criteria:
Exclusion Criteria:
The control group
Inclusion Criteria:
• Normal urinary ultrasonography
Exclusion Criteria:
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Spinal cord injury patients who were hospitalized in the spinal cord injury Rehabilitation Unit of our rehabilitation center and 32 no spinal cord injury who presented at outpatient clinics.
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| Name | Affiliation | Role |
|---|---|---|
| İlkay Karabay | Gaziler Physical Medicine and Rehabilitation Education and Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gaziler PMR, Training and Research Hospital, Department of PMR | Ankara | Çankaya | 06100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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| ID | Term |
|---|---|
| D018608 | Ultrasonography, Doppler |
| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| Urodynamic assessment. | Diagnostic Test | 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 |
|
| D014947 | Wounds and Injuries |