Evaluation and management of neurogenic bladder after spinal cord injury: Current practice among physical medicine and rehabilitation specialists in Turkey

This study investigates how Physical Medicine and Rehabilitation (PMR) specialists in Turkey evaluate and manage neurogenic bladder, a condition that can arise after spinal cord injury (SCI). The aim was to understand current practices in assessing and treating urinary tract dysfunction in these patients. The study involved 100 PMR specialists who routinely care for SCI patients. They were given a questionnaire to gather information on how they assess and follow up on urinary tract issues, both in the upper and lower urinary tracts. The results showed variations in how these specialists manage and monitor neurogenic bladder in SCI patients. The study emphasizes the necessity for creating standardized guidelines and enhancing continuous medical education in this particular area of healthcare.

• 1
  93% of the participants preferred ultrasonography for surveillance of the upper urinary tract dysfunction.
• 2
  Multichannel urodynamics was preferred by 62% of the participants for surveillance of the lower urinary tract.
• 3
  For treatment of areflexic bladder, 78% preferred intermittent catheterization.