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Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury
Author(s) -
Sekido Noritoshi,
Igawa Yasuhiko,
Kakizaki Hidehiro,
Kitta Takeya,
Sengoku Atsushi,
Takahashi Satoru,
Takahashi Ryosuke,
Tanaka Katsuyuki,
Namima Takashige,
Honda Masashi,
Mitsui Takahiko,
Yamanishi Tomonori,
Watanabe Toyohiko
Publication year - 2020
Publication title -
international journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.172
H-Index - 67
eISSN - 1442-2042
pISSN - 0919-8172
DOI - 10.1111/iju.14186
Subject(s) - medicine , spinal cord injury , urinary system , urinalysis , urinary incontinence , physical examination , quality of life (healthcare) , medical history , lower urinary tract symptoms , spinal cord , urology , surgery , nursing , prostate , cancer , psychiatry
The present article is an abridged English translation of the Japanese clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury updated as of July 2019. The patients are adult spinal cord injured patients with lower urinary tract dysfunction; special consideration of pediatric and elderly populations is presented separately. The target audience is healthcare providers who are engaged in the medical care of patients with spinal cord injury. The mandatory assessment includes medical history, physical examination, frequency‐volume chart, urinalysis, blood chemistry, transabdominal ultrasonography, measurement of post‐void residual urine, uroflowmetry and video‐urodynamic study. Optional assessments include questionnaires on the quality of life, renal scintigraphy and cystourethroscopy. The presence or absence of risk factors for renal damage and symptomatic urinary tract infection affects urinary management, as well as pharmacological treatments. Further treatment is recommended if the maximum conservative treatment fails to improve or prevent renal damage and symptomatic urinary tract infection. In addition, management of urinary incontinence should be considered individually in patients with risk factors for urinary incontinence and decreased quality of life.