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AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?

OBJECTIVE: To assess the safety and efficacy of bladder irrigation for reducing the morbidity of bladder stones in spinal cord injury (SCI) patients. METHODS: From December 2011 to July 2013, SCI patients were prospectively randomized and assigned to either a bladder irrigation group or a no bladder...

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Autores principales: Chen, H, Xie, KJ, Jiang, CH, Zeng, JW, Huang, MP, Liu, QL, Huang, JB, Huang, TH, Li, YF
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842518/
http://dx.doi.org/10.21037/tau.2016.s208
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author Chen, H
Xie, KJ
Jiang, CH
Zeng, JW
Huang, MP
Liu, QL
Huang, JB
Huang, TH
Li, YF
author_facet Chen, H
Xie, KJ
Jiang, CH
Zeng, JW
Huang, MP
Liu, QL
Huang, JB
Huang, TH
Li, YF
author_sort Chen, H
collection PubMed
description OBJECTIVE: To assess the safety and efficacy of bladder irrigation for reducing the morbidity of bladder stones in spinal cord injury (SCI) patients. METHODS: From December 2011 to July 2013, SCI patients were prospectively randomized and assigned to either a bladder irrigation group or a no bladder irrigation group. Bladder irrigations were performed twice a week by urologists. The primary outcomes were incidences of bladder stones and Incontinence-Specific Quality-of-Life Instrument (I-QoL). Secondary outcomes were related adverse events. RESULTS: A total of 80 eligible patients participated and 78 (97.5%) patients (bladder irrigation, n=39; no bladder irrigation, n=39) completed 24 weeks of follow-up. Out of the 78 patients, 19 (24.3%) developed bladder stones. All occurred in no bladder irrigation group. In 8 of the 19 patients (42.1%), stones were only detected by cystoscopy .The bladder stones were mostly thin with an eggshell appearance (78.95% for diameter of stone <5 mm, 84.21% for volume of bladder stone<0.2 cm(3)). Bladder stones were removed by vigorous bladder irrigation guided by ultrasound (73.68%) or endoscopic lithotripsy (26.32%). The I-QOL was significantly better in the bladder irrigation group than in no bladder irrigation group at weeks 6, 12, 18, and 24 of follow-up. CONCLUSIONS: Bladder irrigation may be more effective and safer than no bladder irrigation for reducing the morbidity of bladder stone in SCI patients.
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spelling pubmed-48425182016-05-09 AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury? Chen, H Xie, KJ Jiang, CH Zeng, JW Huang, MP Liu, QL Huang, JB Huang, TH Li, YF Transl Androl Urol Printed Abstracts OBJECTIVE: To assess the safety and efficacy of bladder irrigation for reducing the morbidity of bladder stones in spinal cord injury (SCI) patients. METHODS: From December 2011 to July 2013, SCI patients were prospectively randomized and assigned to either a bladder irrigation group or a no bladder irrigation group. Bladder irrigations were performed twice a week by urologists. The primary outcomes were incidences of bladder stones and Incontinence-Specific Quality-of-Life Instrument (I-QoL). Secondary outcomes were related adverse events. RESULTS: A total of 80 eligible patients participated and 78 (97.5%) patients (bladder irrigation, n=39; no bladder irrigation, n=39) completed 24 weeks of follow-up. Out of the 78 patients, 19 (24.3%) developed bladder stones. All occurred in no bladder irrigation group. In 8 of the 19 patients (42.1%), stones were only detected by cystoscopy .The bladder stones were mostly thin with an eggshell appearance (78.95% for diameter of stone <5 mm, 84.21% for volume of bladder stone<0.2 cm(3)). Bladder stones were removed by vigorous bladder irrigation guided by ultrasound (73.68%) or endoscopic lithotripsy (26.32%). The I-QOL was significantly better in the bladder irrigation group than in no bladder irrigation group at weeks 6, 12, 18, and 24 of follow-up. CONCLUSIONS: Bladder irrigation may be more effective and safer than no bladder irrigation for reducing the morbidity of bladder stone in SCI patients. AME Publishing Company 2016-04 /pmc/articles/PMC4842518/ http://dx.doi.org/10.21037/tau.2016.s208 Text en 2016 Translational Andrology and Urology. All rights reserved.
spellingShingle Printed Abstracts
Chen, H
Xie, KJ
Jiang, CH
Zeng, JW
Huang, MP
Liu, QL
Huang, JB
Huang, TH
Li, YF
AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?
title AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?
title_full AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?
title_fullStr AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?
title_full_unstemmed AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?
title_short AB208. Can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?
title_sort ab208. can bladder irrigation reduce the morbidity of bladder stones in patients with spinal cord injury?
topic Printed Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4842518/
http://dx.doi.org/10.21037/tau.2016.s208
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