Spinal Kord Yaralanmalarında Temiz Aralıklı Kateterizasyon

Year 1991, Volume: 44 Issue: 3, 459 - 464, 30.09.1991

İbrahim Yaşar Özgök

Abstract

Spinal kord yaralanmalı 126 hasta nöropatik mesaneleri yönünden
değerlendirilmişlerdir. Bu değerlendirme klinik, radyolojik ve
ürodinmik (şistometri ve sfinkter EMG) çalışmaların kombinasyonları
şeklinde yapılmış ve en uygun tedavi araştırılmıştır.
Bu çalışmalarda hastaların daimi üriner kateterden kurtarılarak
aralıklı kateterizasyona geçme yolları araştırılmıştır. Aralıklı
kateterizasyon, ekonomik oluşu ve kolay uygulanabilirliği nedeniyletemiz aralıklı kateterizasyon (TAK) şeklinde yapılmıştır. Hastaların
7e 16,2'sinde gerektiğinde antikolinerjik ilaç eşliğinde TAK uygulaması
ile inkontinans düzelmiş, mesane komplikasyonları önlenmiştir.

Keywords

Spinal , Kord Yaralanması , Aralıklı Kateterizasyon

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

Clean In Spınal Cord Injurıes Intermıttent Catheterızatıon

Abstract

126 patients with spinal cord injuries were evaluated with regard
to their neuropathic bladders. This evaluation was made by a combination
of clinical, radiological and urodynamic studies (Cystometry
and Sphincter EMG), and the most appropriate therapy was chosen. .
In this study, how to provide intermittent catheterization for the
patients, remowing the indwelling urinary catheter, was determined.
Intermittent catheterization was made as clean intermittent catheterization
due to the facts that it is inexpensive and easily applicable.
In 76,2 © of the patients, incontinence was recovered by TAK
application with antichoniergic drugs when necessary; and complications
of bladder was destroyed.

Keywords

Spinal Cord Injury , Clean Intermittent , Catheterization.

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

• 1, Arnold EP Fukui J Anthony A and Utley WLF : Bladder Function Following Spinal Cond Injury : A Urodynamic analysis of the outcome, Brit. J. Urol, 56 : 172-177. 1984.
• 2. Dückett JW : Ureterovesical Junction and Acguired ovesicouretral reflux, J. Urol., 127-249, 1982.
• 3. Guttman Land Frankel H :; The value of intermittent catheterization in the early management of traumatic paraplegia and tetraplegia. Paraplegia 4 : 63, 1966.
• 4. Hackler RH : Urologic care of the spinal cord injuried patient. American Urologic Association Update series, Vol, IlI Less. 35 : 2-7, 1984.
• 5. Lapides J Diokno AC Silber SJ and Lowe BS : Clean intermittent self catheterization in the treatment of urinary tract disease Trans. Amer, Ass, Genito Urin. Surg., 863 : 92, 1971.
• 8. Mec Guire EJ and Savastano JA : Long-term follow up of spinal cord injury patients managed by intermittent catheterization. J, Urol., 129 ; 775, 1983.
• 7. O'Fiynn JD : Early and late managemen tof the neuropathic bladder in spinal cord injury patients. J. Urol., 120 : 726, 1978.
• 8. Webb RJ Auriol L Lawson Neal DE : Clean intermittent self-catheterization in 172 adults. Brit. J. Urol., 65 : 20-23, 1990,