Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury

Noritoshi Sekido, Yasuhiko Igawa, Hidehiro Kakizaki, Takeya Kitta, Atsushi Sengoku, Satoru Takahashi, Ryosuke Takahashi, Katsuyuki Tanaka, Takashige Namima, Masashi Honda, Takahiko Mitsui, Tomonori Yamanishi, Toyohiko Watanabe

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)276-288
Number of pages13
JournalInternational Journal of Urology
Volume27
Issue number4
DOIs
Publication statusPublished - Apr 1 2020

Keywords

  • bladder
  • clinical practice guideline
  • guideline
  • injuries
  • neurogenic
  • spinal cord
  • spinal cord disorders

ASJC Scopus subject areas

  • Urology

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  • Cite this

    Sekido, N., Igawa, Y., Kakizaki, H., Kitta, T., Sengoku, A., Takahashi, S., Takahashi, R., Tanaka, K., Namima, T., Honda, M., Mitsui, T., Yamanishi, T., & Watanabe, T. (2020). Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury. International Journal of Urology, 27(4), 276-288. https://doi.org/10.1111/iju.14186