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Current Bladder Dysfunction Reports
Erschienen in: Current Bladder Dysfunction Reports 4/2017

11.08.2017 | Neurogenic Bladder (C Powell, Section Editor)

Volitional Voiding After Spinal Cord Injury—Who Will and Who Will Not

verfasst von: Christopher S. Elliott, Kazuko Shem

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 4/2017

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Abstract

Purpose

A long-term absence of volitional voiding after spinal cord injury is common. This review serves to highlight predictive models of volitional voiding after spinal cord injury and evaluate current therapies aimed at improving voiding efficiency after injury.

Recent Findings

In a new predictive model, using data from the European Multicenter Spinal Cord Injury study, lower extremity motor preservation is the most important physical exam finding to predict volitional voiding. Using a simple composite motor score ranging from 0 to 50 for the bilateral levels of L2-S1, an impressive area under the curve of 0.91 is achieved.

Summary

While our ability to predict volitional voiding after spinal cord injury has improved, the treatment of an inability to void remains lacking. Neuromodulation techniques may provide the best chance of recovery in those that do not spontaneously improve.
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Metadaten
Titel
Volitional Voiding After Spinal Cord Injury—Who Will and Who Will Not
verfasst von
Christopher S. Elliott
Kazuko Shem
Publikationsdatum
11.08.2017
Verlag
Springer US
Erschienen in
Current Bladder Dysfunction Reports / Ausgabe 4/2017
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-017-0448-x

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