Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury
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- Noritoshi Sekido
- Department of Urology Toho University Ohashi Medical Center Tokyo Japan
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- Yasuhiko Igawa
- Department of Urology Nagano Prefectural Shinshu Medical Center Suzaka Nagano Japan
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- Hidehiro Kakizaki
- Department of Renal and Urologic Surgery Asahikawa Medical University Asahikawa Hokkaido Japan
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- Takeya Kitta
- Department of Renal and Genitourinary Surgery Graduate School of Medical Science Hokkaido University Sapporo Hokkaido Japan
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- Atsushi Sengoku
- Department of Urology Hyogo Prefectural Rehabilitation Central Hospital Kobe Hyogo Japan
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- Satoru Takahashi
- Department of Urology Nihon University School of Medicine Tokyo Japan
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- Ryosuke Takahashi
- Department of Urology Spinal Injuries Center Iizuka Fukuoka Japan
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- Katsuyuki Tanaka
- Department of Urology Kanagawa Rehabilitation Hospital Atsugi Kanagawa Japan
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- Takashige Namima
- Department of Urology Tohoku Rosai Hospital Sendai Miyagi Japan
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- Masashi Honda
- Division of Urology Tottori University Faculty of Medicine Yonago Tottori Japan
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- Takahiko Mitsui
- Department of Urology University of Yamanashi Graduate School of Medical Sciences Chuo Yamanashi Japan
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- Tomonori Yamanishi
- Department of Urology Continence Center Dokkyo Medical University Mibu Tochigi Japan
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- Toyohiko Watanabe
- Department of Urology Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama Japan
抄録
<jats:title>Abstract</jats:title><jats:p>The present article is an abridged English translation of the Japanese clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury updated as of July 2019. The patients are adult spinal cord injured patients with lower urinary tract dysfunction; special consideration of pediatric and elderly populations is presented separately. The target audience is healthcare providers who are engaged in the medical care of patients with spinal cord injury. The mandatory assessment includes medical history, physical examination, frequency‐volume chart, urinalysis, blood chemistry, transabdominal ultrasonography, measurement of post‐void residual urine, uroflowmetry and video‐urodynamic study. Optional assessments include questionnaires on the quality of life, renal scintigraphy and cystourethroscopy. The presence or absence of risk factors for renal damage and symptomatic urinary tract infection affects urinary management, as well as pharmacological treatments. Further treatment is recommended if the maximum conservative treatment fails to improve or prevent renal damage and symptomatic urinary tract infection. In addition, management of urinary incontinence should be considered individually in patients with risk factors for urinary incontinence and decreased quality of life.</jats:p>
収録刊行物
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- International Journal of Urology
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International Journal of Urology 27 (4), 276-288, 2020-02-19
Wiley