Abstract
Background: Renal failure and other urinary tract complications were the major causes of mortality in patients with spinal cord injury. Effective early rehabilitation will prevent the onset of complications, reduce the mortality, morbidity and improve the quality of life too.
Objectives
1. To compare the effects of early and late rehabilitation on the functional outcome of reflex bladder in spinal cord injury patients.
2. To study the associated demographic factors.
Settings and Design: Randomized control trial study conducted in a tertiary level multispecialty hospital.
Materials and Methods: 44 patients with traumatic spinal cord injury participated in this study. These patients are divided into 2 groups. Group A before 3 months and group B after 6 months. All patients were given same urological rehabilitation. Patients are then reassessed after 3 months and 6 months by clinical, laboratory and Ultrasound KUB examinations.
Results: The main age group affected are between 31-40 yrs and males are more affected. There is a decrease in residual urine volume and recurrent symptomatic bacteriuria after treatment in both groups, more in group A. Significant increase in bladder capacity in noted in group A. Raised renal function tests was seen in group B only. Significant bladder wall thickening and hydronephrosis were observed mainly in group A.
Conclusion: Early urological rehabilitation optimizes the bladder functions and prevents the complications.
Keywords: Reflex bladder, residual urine volume, urological rehabilitation.
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DOI: https://dx.doi.org/10.18535/jmscr/v5i2.58
