Evaluation of Patients with Neurogenic Bladder Following Lumbar and Lumbosacral Disc Herniation Surgery: A Retrospective Cross-Sectional Study.
Objective: The aim of this study was to explore the uro-dynamic features and renal/bladder functions in patients following lumbar or lumbosacral disc herniation surgery. Material and Methods: This retrospective study included 28 patients with a history of lumbar disc herniation surgery. Demographic...
| Publicado en: | Journal of Physical Medicine & Rehabilitation Sciences Vol. 27; no. 1; pp. 49 - 56 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Turkiye Klinikleri
oca2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=176369583&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176369583 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13093843 B6K0 jtl: Journal of Physical Medicine & Rehabilitation Sciences issn: 13093843 maglogo: N pubinfo: dt: oca2024 vid: 27 iid: 1 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 176369583 176369583 176369583 10.31609/jpmrs.2023-98028 176369583 ppf: 49 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Evaluation of Patients with Neurogenic Bladder Following Lumbar and Lumbosacral Disc Herniation Surgery: A Retrospective Cross-Sectional Study. aug: au: ERTÜRK ÇELİK, Gülsemin ERSÖZ, Murat ERDEN, Ender ERDEN, Ebru affil: Republic of Türkiye Ministry of Youth and Sports, Ankara, Türkiye sug: subj: Lumbar Vertebrae Surgery Sacrum Surgery Intervertebral Disk Displacement Surgery Orthopedic Surgery Adverse Effects Bladder, Neurogenic Risk Factors Risk Assessment Urodynamics Evaluation Bladder Physiopathology Kidney Physiopathology Human Retrospective Design Cross Sectional Studies Record Review Comparative Studies Adult Middle Age Aged Surgical Patients Catheters, Urinary Adverse Effects Sex Factors Bladder Ultrasonography Kidney Ultrasonography Turkiye Data Analysis Software T-Tests Descriptive Statistics Pearson's Correlation Coefficient Chi Square Test Female Male Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: Objective: The aim of this study was to explore the uro-dynamic features and renal/bladder functions in patients following lumbar or lumbosacral disc herniation surgery. Material and Methods: This retrospective study included 28 patients with a history of lumbar disc herniation surgery. Demographic and clinical data were collected. Data comparisons were performed in the subgroups according to gender, bladder filling sensation, and postoperative duration. Results: A total of 28 patients (16 males, 12 females) with a mean age of 52.9±12.7 years were enrolled. The mean duration since the lumbar disc operation was 26.1±27.1 months. When the patients were allocated two groups with respect to postoperative duration (<6 months, ≥6 months), statistically significant difference was observed in emptying method at admission (p=0.024). Similarly, when the patients were allocated two groups with respect to gender (male-female) statistically significant difference was observed in emptying method at admission (p=0.049). Frequency of indwelling urethral catheter use was higher in male patients and in patients with postoperative duration <6 months while spontaneous voiding/emptying without catheter frequencies were higher in female patients and in patients with a postoperative duration of ≥6 months. Conclusion: Higher indwelling urethral catheter frequencies were observed in patients with short postoperative duration and in male patients. Evaluation of the patients with indwelling urethral catheters as soon as possible and shifting to spontaneous voiding or intermittent catheterisation will diminish the side effects of indwelling urethral catheters in these patients. Amaç: Bu çalışmanın amacı, lomber ve lumbosakral disk hernisi cerrahisi sonrası hastaların böbrek, mesane fonksiyonları ve ürodinamik özelliklerini araştırmaktır. Gereç ve Yöntemler: Bu ret-rospektif çalışmaya lomber disk hernisi cerrahisi geçirmiş 28 hasta dâhil edildi. Demografik ve klinik veriler toplandı. Alt gruplarda cinsiyet, mesane dolum hissi ve postoperatif süreye göre veri karşılaştırmaları yapıldı. Bulgular: Yaş ortalaması 52,9±12,7 yıl olan toplam 28 (16 erkek, 12 kadın) hasta çalışmaya alındı. Lomber disk operasyonundan bu yana geçen ortalama süre 26,1±27,1 ay idi. Hastalar hastalık süresine göre (<6 ay, ≥6 ay) iki gruba ayrıldığında, başvuru sırasındaki boşaltma yönteminde istatistiksel olarak anlamlı farklılık gözlendi (p=0,024). Benzer şekilde, hastalar cinsiyete göre (erkek-kadın) iki gruba ayrıldığında başvuru sırasındaki boşaltma yönteminde istatistiksel olarak anlamlı farklılık gözlendi (p=0,049). Kalıcı üretral kateter kullanım sıklığı erkek hastalarda ve hastalık süresi <6 ay olan hastalarda daha yüksek iken, katetersiz spontan işeme/boşaltma sıklığı kadın hastalarda ve hastalık süresi ≥6 ay olan hastalarda daha yüksekti. Sonuç: Postoperatif süresi kısa olan hastalarda ve erkek hastalarda daha yüksek kalıcı üretral kateter kullanım sıklığı gözlendi. Kalıcı üretral kateter kullanan hastaların en kısa sürede değerlendirilmesi ve spontan işeme veya aralıklı kateterizas-yona geçilmesi, bu hastalarda kalıcı üretral kateterin yan etkilerini azaltacaktır. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|