Abstract
A scheme for the management of the common urological presentations encountered in spinal cord damaged patients is provided in flow chart form. The diagrams indicate how urological investigations can be used to greatest effect. A simple computer programme based on these charts is available.
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Abel B J, Gibbon N O K, Jameson R M, Krishnan K R 1974 The neuropathic urethra. Lancet 2: 1229–1230.
Abel B J, Ross J. C osbie, Gibbon, N O K, Jameson R M 1975 Urethral pressure measurement afer division of the external sphincter. Paraplegia 13: 37–41.
Asscher A W 1980 Prophylaxis of urinary tract infection. Proceedings of the International Symposium ‘The challenge of Urinary Tract Infection’, Published by The Medicine Publishing Foundation, Edited by A. W. Asscher 63–71.
Gardner B P, Parsons K F, Machin D G, Jameson R M, Krishnan K R 1984 The role of urodynamics in the management of spinal cord injured patients. Paraplegia 22: 157–161.
Gibbon N O K, Ross J C, Damanski M 1965 Bladder neck resection in the paraplegic—report of over 100 cases. International Journal of Paraplegia 2: 264–278.
Gibbon N O K 1973 Division of the external sphincter. British Journal of Urology 45: 110–115.
Gibbon N O K, Parsons K F, Woolfenden K A 1980 The neuropathic urethra. Paraplegia 18: 221–225.
Gruneberg R N 1980 Extended treatment of urinary tract infection. Proceedings of the International Symposium ‘The challenge of Urinary Tract Infection’, Published by The Medicine Publishing Foundation, Edited by A. W. Asscher 73–80.
Guttmann L, Frankel H 1966 The value of intermittent catheterisation in the early management of traumatic paraplegia and tetraplegia. Paraplegia 4: 63–83.
Parsons K F, Turton M B 1980 Urethral super-sensitivity and occult urethral neuropathy. British Journal of Urology 52: 131–137.
Ross J C 1956 Treatment of the bladder in paraplegia. British Journal of Urology 28: 14–23.
Ross J C, Damanski M 1953 Pudendal neurectomy in the treatment of the bladder in spinal injury. British Journal of Urology 25: 45–50.
Ross J C, Gibbon N O K, Damanski M 1957 Resection of the external urethral sphincter in the paraplegic. Preliminary report. Transactions of the American Association of Genito-Urinary Surgeons 69: 193–198.
Ross J C, Gibbon N O K, Damanski M 1964 Bladder dysfunction in non-traumatic paraplegia. Lancet 779-782.
Ross J C, Gibbon N O K, Damanski M 1967 Division of the external sphincter in the treatment of the neurogenic bladder-a ten year review. British Journal of Surgery 54: 627–828.
Ross J C, Gibbon N O K Sham Sunder G 1976 Division of the external urethral sphincter in the neuropathic bladder-a twenty years' review. British Journal of Urology 48: 649–656.
Sham S under G, Parsons K F, Gibbon N O K 1978 Outflow obstruction in neuropathic bladder dysfunction: the neuropathic urethra. British Journal of Urology 50: 190–199.
Wyndaele J, De Sy W A, Claessens M 1985 Evaluation of different methods of bladder drainage used in the early care of spinal cord injury patients. Paraplegia 23: 18–26
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Gardner, B., Parsons, K., Machin, D. et al. The urological management of spinal cord damaged patients: a clinical algorithm. Spinal Cord 24, 138–147 (1986). https://doi.org/10.1038/sc.1986.18
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DOI: https://doi.org/10.1038/sc.1986.18