TITLE:
Can Bladder Irrigation Reduce the Morbidity of Bladder Stone in Patients with Spinal Cord Injury?
AUTHORS:
Hui Chen, Keji Xie, Chonghe Jiang, Xinghua Yang, Jingwen Zeng, Maping Huang, Qiuling Liu, Jiebing Huang, Tianhai Huang, Yanfeng Li, Jing Liu, Shumei Xie
KEYWORDS:
Bladder Irrigation, Bladder Stone, Spinal Cord Injury
JOURNAL NAME:
Open Journal of Urology,
Vol.5 No.4,
April
17,
2015
ABSTRACT: Objective: To assess the safety and
efficacy of bladder irrigation for reducing the morbidity of bladder stones in
patients with neurological lower urinary tract dysfunction (NLUTD). Methods:
From June 2012 to July 2013, patients with NLUTD were prospectively randomized
and assigned to either a bladder irrigation group or a no bladder irrigation
group. Bladder irrigations were performed twice a week by urologists. Patients
were followed up at 6 months respectively. Primary outcomes were
Incontinence-Specific Quality-of-Life Instrument (I-QoL), the rate incidences
of bladder stone. All adverse events were also noted. Results: A total of 80
eligible patients participated and 78 (97.5%) patients (bladder irrigation, n
= 39; no bladder irrigation, n = 39) completed 24 weeks of follow-up. Out of
the 78 patients, 19 (24.3%) developed bladder stones. All occurred in no
bladder irrigation group. In 8 of the 19 patients (42.1%), stones were only
detected by cystoscopy. The bladder stones were mostly thin with an eggshell
appearance (78.95% for diameter of stone