Al Taweel Waleed, Alkhayal Abdullah
King Faisal Specialist Hospital and Research Center, Alfaisal University and Saud Bin Abdulaziz University, Riyadh, Saudi Arabia.
Urol Ann. 2011 Jan;3(1):24-8. doi: 10.4103/0974-7796.75872.
The aim of this study is to determine the current trends in the management and surveillance of the NB population secondary to spinal cord injury (SCI) or myelomeningocele by certified urologist working in Saudi Arabia and to compare it to the current guidelines.
A cross-sectional study was conducted using a 12-points questionnaire distributed to urologists working in Saudi Arabia and registered at the Saudi medical association. The assessment and follow-up of upper and lower urinary tract function in neurogenic bladder patients, their optimal frequency and management of related infections were the topics of inquiry.
Of the 272 urologists surveyed, 105 responded, yielding a response rate of 38%. Eighty-nine percent of respondents said that ultrasound was their diagnostic tool of choice for upper tract evaluation. Sixty-one percent of respondents said that they would follow their patients with a multichannel urodynamic study. Forty percent of urologists stated that they would treat asymptomatic bacteriuria. Clean intermittent catheterization (CIC) was the most common modality chosen for the management of neurogenic bladder in patients with emptying difficulties.
This study confirms that most urologists in Saudi Arabia involved with neurogenic bladder management. However, more than one third of the urologists do not have urodynamic machine and only two of the reporting practitioners has a videourodynamic machine. The results emphasize the need for clear guidelines in this field of urology in Saudi Arabia. Highly specialized rehabilitation centers for neurogenic bladder secondary to SCI are required for optimal care and urologist teaching.
本研究旨在确定沙特阿拉伯的认证泌尿科医生对脊髓损伤（SCI）或脊髓脊膜膨出继发神经源性膀胱（NB）患者进行管理和监测的当前趋势，并将其与当前指南进行比较。
采用横断面研究，向在沙特阿拉伯工作并在沙特医学协会注册的泌尿科医生发放一份包含12个问题的问卷。询问内容包括神经源性膀胱患者上、下尿路功能的评估和随访、其最佳频率以及相关感染的管理。
在272名接受调查的泌尿科医生中，105人做出回应，回应率为38%。89%的受访者表示，超声是他们评估上尿路的首选诊断工具。61%的受访者表示，他们会通过多通道尿动力学研究对患者进行随访。40%的泌尿科医生表示，他们会治疗无症状菌尿。清洁间歇性导尿（CIC）是治疗排空困难的神经源性膀胱患者最常用的方式。
本研究证实，沙特阿拉伯的大多数泌尿科医生参与神经源性膀胱的管理。然而，超过三分之一的泌尿科医生没有尿动力学检查设备，报告的从业者中只有两人拥有影像尿动力学检查设备。结果强调了沙特阿拉伯在该泌尿外科领域制定明确指南的必要性。为实现最佳护理和对泌尿科医生的培训，需要建立针对SCI继发神经源性膀胱的高度专业化康复中心。
