Urologic and sexual complications in chronic spinal cord injury patients with its management overview: a review of 500 patients

ABSTRACT

A total of 500 patients with chronic SCI were studied clinically, radiologically, bacteriologically, urodynamically in a specialized SCI Center, over one year. Medical treatment, different endoscopic procedures [182 patients] and surgical procedures [77 patients] have been performed. The results revealed that hydronephrosis was reported in 100 patients [V-U reflux 65, stricture ureter 20, renal calculi 9, and infravesical obstruction 6]. Renal stones were occurred in 45, bladder stones in 65 and RF in 16 patients. Also, stricture urethera was occurred in 16, uretheral diverticulum in 3, dyssenergia in 60 in UMNL and 15 in LMNL. Urinary scrotal fistula was represented in 19, traumatic hypospadius in one, penile amputation and edema in 4 patients. Erection was preserved in 70% and antegrade ejaculation in 10% of patients. It was concluded that urologic manifestations of SCI are protean. Their management are controversial with wide range of treatments. The main goal in treatment is to control urosepsis and to provide adequate bladder drainage