A Clinical Evaluation of 90 Spinal Cord Injured Patients / 대한비뇨기과학회지

ABSTRACT

90 cases of spinal cord injured patients admitted to St. Mary`s Hospital, Catholic Medical College, during the period from January 1969 to December 1978 were analyzed. All of these patients had initial bladder management by a careful indwelling catheter. This method reduced the incidence of the vesico-ureteral reflux, but the incidence of bladder stone was increased in flaccid neurogenic bladder than spastic type. The final stage of neurogenic bladder was reached eventually, usually within the first 3 months after injury. 57 cases of the 90 patients remained catheter-free and 21 cases remained indwelling catheter. In the early part of this series transurethral resection was done as the primary operation and external sphincterectomy was done when this failed. Since this was not always successful the combined procedure, external sphincterotomy and transurethral resection was tried, In this series T.U.R. and/or external sphincterotomy was done in 8 cases and all the cases were successful.