Neuro-urology followed of spinal cord injury patients: Recommendations to the common practice.

OBJECTIVE: The life expectancy for SCI has become comparable to that of the general population. This improvement is the result of a follow-codified neuro-urology. The latest recommendations of GENULF constitute the largest part of this monitoring.

OBJECTIVE: Make an inventory on the application of these recommendations and analyze failures in the application and the factors associated with these facts.

MATERIALS/PATIENTS AND METHODS: This was a retrospective descriptive study on patients followed north hospital site Carbet Caribbean and seen from 1 January 2014 to 1 January 2016 as part of a re-hospitalization for functional assessment and neuro-urological annual control as recommended by the GENULF. Data analysis was done with Epi Info.

RESULTS: The median age of enrolled patients was 47.7±16.1 years. The affected were primarily male sex 81.5% (53/65). Spinal cord injury duration was on average 11.6+-11.8 years, ranging from 1 to 46 years. They were quadriplegics (66.2%) and paraplegics (33.8%) with ASIA A (67.7%), B (12.3%), C (12.3%) and D (7.5%). The origins of the lesion were: accident of the public highway 41.5%, domestic accident 16.9%, work accident 9.2%, diving accident 7.5% and sports injury 6.1%. Creatinine clearance of 24h was achieved in all patients and averaged 103.6+- 32.9ml/min with 6.2% who had severe renal impairment. All patients had specific exams such as a urine culture, an abdominal radiography, and dynamic urinary function evaluations, while 52.3% had no vesicle ultrasound exam and only 9.2% had made an informed cystoscopy in their file.

DISCUSSION/CONCLUSION: This analysis suggests that the weak link in the monitoring of these patients was carrying ultrasound and cystoscopy. It is surprising the fact that ultrasound is not informed on issues that routinely prescribed each year. The appointment is distant, these results certainly reach the treating doctors without that they do not send a copy to the patient's hospital record.