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. 2022 Jun;50(6):3000605221104768.
doi: 10.1177/03000605221104768.

Association of bladder trabeculation and neurogenic bladder with spinal cord injury

Yu Hui Won  1   2 , Da-Sol Kim  1   2 , Gi-Wook Kim  1   2 , Sung-Hee Park  1   2 , Myoung-Hwan Ko  1   2 , Jeong-Hwan Seo  1   2
Affiliations

Association of bladder trabeculation and neurogenic bladder with spinal cord injury

Yu Hui Won et al. J Int Med Res. 2022 Jun.

Abstract

Objective: To compare clinical findings and urodynamic parameters according to trabeculation grade and analyze their correlations with trabeculation severity in neurogenic bladder caused by suprasacral spinal cord injury (SCI).

Methods: A retrospective chart review was performed of neurogenic bladder caused by SCI. Bladder trabeculation grade was compared with SCI-related clinical parameters and bladder-related urodynamic parameters.

Results: In SCI patients, factors such as disease duration, bladder capacity, detrusor pressure, peak detrusor pressure values, and compliance were significantly different between different grades of bladder trabeculation, while neurological level of injury, completeness, and detrusor sphincter dyssynergia had no clear relationship with bladder trabeculation grade. In the correlation analysis, vesicoureteral reflux was moderately correlated with trabeculation grade (correlation coefficient 0.433), while the correlation coefficients of disease duration, involuntary detrusor contraction, and bladder filling volume were between 0.3 and 0.4.

Conclusion: Bladder trabeculation with suprasacral-type neurogenic bladder was graded. Although disease duration was positively correlated with bladder trabeculation grade, differences in the neurological level of injury or American Spinal Injury Association Impairment Scale score were not observed. Bladder volume, peak detrusor pressure, compliance, reflex volume, and vesicoureteral reflux also showed significant differences according to trabeculation grade. Vesicoureteral reflux was moderately correlated with trabeculation grade.

Keywords: Trabeculation; neurogenic bladder; spinal cord injury; suprasacral; urodynamic study; vesicoureteral reflux.

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Conflict of interest statement

Declaration of conflicting interest: The authors declare that there is no conflict of interest.

References

    1. Sullivan M, Yalla S. Spinal cord injury and other forms of myeloneuropathies. Probl Urol 1992; 6: 643–643.
    1. Jeong SJ, Cho SY, Oh SJ. Spinal cord/brain injury and the neurogenic bladder. Uro Clin North Am 2010; 37: 537–546. - PubMed
    1. Maynard FM, Jr, Bracken MB, Creasey G, et al. International standards for neurological and functional classification of spinal cord injury. Spinal cord 1997; 35: 266. - PubMed
    1. Fam B, Yalla SV. Vesicourethral dysfunction in spinal cord injury and its management. Semin Neurol 1988; 8: 150–155. - PubMed
    1. Weld KJ, Dmochowski RR. Association of level of injury and bladder behavior in patients with post-traumatic spinal cord injury. Urology 2000; 55: 490–494. - PubMed

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