Browse the latest research summaries in the field of urology for spinal cord injury patients and caregivers.
Showing 261-270 of 389 results
The Journal of Spinal Cord Medicine, 2018 • April 1, 2018
Indwelling catheters play an important role in bladder management following SCI for many individuals with neurogenic bladders. Indwelling urethral catheters -but not SP catheters- pose an increased ri...
KEY FINDING: The incidence of UTI with indwelling urethral catheters was twice as high as for other types of management, emphasizing the importance of careful catheter management and judicious use of antibiotics in these individuals.
Top Spinal Cord Inj Rehabil, 2017 • January 1, 2017
This article reviews the impact of spinal cord injury (SCI) on sexual function, covering the basic anatomy and physiology of sexual responses, the pathophysiology of sexual dysfunction following SCI, ...
KEY FINDING: Peripheral nerves in the pelvis are regulated by cerebral control, and SCI can disrupt this control, impacting both psychological and reflex responses for genital arousal, ejaculation, and orgasm.
Top Spinal Cord Inj Rehabil, 2017 • January 1, 2017
Spinal cord injury can lead to alterations in cardiovascular autonomic function, resulting in low resting blood pressure, orthostatic hypotension, and autonomic dysreflexia. The mechanisms behind thes...
KEY FINDING: Individuals with SCI at or above the T6 neurologic level are at increased risk of AD during sexual stimulation. This risk increases with higher and more complete injuries.
Topics in Spinal Cord Injury Rehabilitation, 2017 • January 1, 2017
This article presents a systematic approach for clinicians to address sexual concerns in patients with spinal cord injury (SCI), emphasizing open communication, detailed assessments, and patient educa...
KEY FINDING: Greater sensory function in the T11-L2 dermatomes correlates with the ability to attain psychogenic erection and increase vaginal vasocongestion (lubrication).
PLoS ONE, 2018 • January 31, 2018
This pilot trial suggests that task-specific locomotor training (LT) can improve bladder, bowel, and sexual outcomes in humans with chronic spinal cord injury (SCI). The study involved eight SCI parti...
KEY FINDING: Filling cystometry documented significant increases in bladder capacity, voiding efficiency and detrusor contraction time as well as significant decreases in voiding pressure post-training relative to baseline.
The Journal of Spinal Cord Medicine, 2019 • January 1, 2019
This paper highlights the importance of including a detailed clinical examination of the lower sacral segments in patients presenting with unexplained bladder dysfunction. The authors present four cas...
KEY FINDING: A thorough clinical examination of the lower sacral segments (S2-S4) is crucial in identifying neurological causes of unexplained bladder dysfunction.
Spinal Cord Series and Cases, 2017 • October 4, 2017
This case series highlights the importance of supplementing the neurological examination with thoracolumbar reflex testing to gather information about ejaculation in males with SCI. Cases 1 and 2 demo...
KEY FINDING: Neurologic examination combined with reflex testing can predict sexual responses after SCI.
Spinal Cord Series and Cases, 2017 • October 10, 2017
This case report describes a 58-year-old woman with C3 AIS B SCI who experienced severe autonomic dysreflexia (AD) during bladder emptying using the Credé maneuver. The Credé maneuver, involving manua...
KEY FINDING: The Credé maneuver can induce a rapid and significant increase in systolic blood pressure in individuals with cervical SCI.
Conf Proc IEEE Eng Med Biol Soc, 2011 • January 1, 2011
This study investigates the use of selective co-stimulation of pudendal nerve afferents to enhance reflex bladder activation and improve bladder voiding efficiency in individuals with spinal cord inju...
KEY FINDING: Co-stimulation of CSN and DNP evoked larger bladder contractions than individual stimulation of either CSN or DNP in anesthetized cats.
Exp Neurol, 2018 • July 1, 2018
The study mapped the effects of spinal cord stimulation (SCS) on the lower urinary tract (LUT) in rats, finding that stimulation of different lumbar segments had distinct effects on the external ureth...
KEY FINDING: SCS of L2-3 inhibited EUS tonic activity, and SCS on L3 (L3/SCS) inhibited EUS tonic activity and elicited EUS bursting.