Cetinel B, Onal B, Turegun F A, Erdogan S
Department of Urology, University of Istanbul Cerrahpasa School of Medicine, Istanbul, Turkey.
Department of Public Health, University of Istanbul Cerrahpasa School of Medicine, Istanbul, Turkey.
Spinal Cord. 2014 Apr;52(4):302-6. doi: 10.1038/sc.2013.173. Epub 2014 Jan 21.
To determine the urologic health condition of spinal cord-injured (SCI) patients living in Turkey, and to analyze the relationship between the prevalence of urologic health condition parameters and the patient's characteristics.
Telephone call survey was conducted with a structured questionnaire among all members of Turkish Society of Spinal Cord Injured Patients.
Data were obtained from 300 patients. Mean age was 42 years with a male/female ratio of 2.3, while the most common cause of injury was transport (35.3%). Although 70% were aware of potential kidney and bladder problems after injury >60% of the patients were not under regular urologic follow-up. Secondary health problems experienced as being most important was urination problems (50%). Of the patients 72.7% (83% in females vs 68% in males) had urinary incontinence (UI) during last 3 months, and 64.3% used clean intermittent catheterization (CIC) (68% in males vs. 56% in females), while 73%, 57% and 26% of incontinent patients used diaper/pad, medication and condom catheter, respectively, and the use of CIC decreased with time. Surgical procedures on urinary tract were performed in 22.6% of the patients; stone surgeries were the most frequent ones.
This study demonstrated that the UI rate was high among SCI patients, and more common in females with fairly good proportion of patients using incontinence medication. Main bladder management method was CIC and more prevalent in males, although the use of CIC decreased with time. Urinary stone surgery was the leading surgical procedure.
确定生活在土耳其的脊髓损伤（SCI）患者的泌尿系统健康状况，并分析泌尿系统健康状况参数的患病率与患者特征之间的关系。
通过结构化问卷对土耳其脊髓损伤患者协会的所有成员进行电话调查。
共获得300例患者的数据。平均年龄为42岁，男女比例为2.3，最常见的损伤原因是交通伤（35.3%）。尽管70%的患者知晓损伤后可能出现的肾脏和膀胱问题，但超过60%的患者未接受定期泌尿系统随访。患者认为最重要的继发性健康问题是排尿问题（50%）。在过去3个月中，72.7%的患者（女性为83%，男性为68%）存在尿失禁（UI），64.3%的患者采用清洁间歇性导尿（CIC）（男性为68%，女性为56%），而73%、57%和26%的尿失禁患者分别使用尿布/尿垫、药物和避孕套导尿管，且CIC的使用随时间减少。22.6%的患者接受了泌尿系统手术；结石手术最为常见。
本研究表明，SCI患者的尿失禁发生率较高，在女性中更为常见，且有相当比例的患者使用失禁药物。主要的膀胱管理方法是CIC，在男性中更为普遍，尽管CIC的使用随时间减少。尿路结石手术是主要的外科手术。
