Abstract
The spinal injury patients who were initially treated by suprapubic catheterisation and reported from this unit in 1976 have been reviewed.
Fifteen had died by early 1982; only in two cases from renal causes. All but one of the 23 survivors seen has a normal blood urea, and 15 have normal intravenous pyelograms. Eight patients have abnormal IVPs; the abnormalities were insignificant in four, and have been treated in two. Two patients have unilateral nonfunctioning kidneys.
These results suggest that no long term ill effects result from the technique. In view of its considerable administrative advantages suprapubic urinary drainage should become more widely used.
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Bradley, W E, Chou, S N & French, L A (1963). Further Experience with the Radio Transmitter Receiver Unit for the Neurogenic Bladder. J. Neurosurgery, 20, 953–960.
Cook, J B & Smith, P H (1976). Percutaneous Suprapubic Cystostomy after Spinal Cord Injury. British Journal of Urology, 48, 119–121.
Cutler, S J & Ederer, F (1958). Maximum Utilization of the Life Table Method in Analyzing Survival. J. Chronic Diseases, 8, 699–712.
Fam, B A, Rossier, A B, Blunt, K, Gabilondo, F B, Sarkarati, M, Sethi, J & Yalla, S V (1978). Experience in the Urological Management of 120 Early Spinal Cord Injury Patients. Journal of Urology, 119, 485–487.
Grundy, D J, Fellows, G J, Gillett, P, Nuseibeh, I & Silver, J R (1983). A Comparison of Fine-Bore Suprapubic and an Intermittent Urethral Catheterisation Regime after Spinal Cord Injury. (In press.)
Guttmann, L (1976). Spinal Cord Injuries—Comprehensive Management and research. Oxford: Blackwell.
Guttmann, L & Frankel, H (1966). The Value of Intermittent Catheterisation in the Early Management of Traumatic Paraplegia and Tetraplegia. Paraplegia, 4, 63–83.
Pearman, J W (1976). Urological Follow-up of 99 Spinal Cord Injured Patients initially managedby Intermittent Catheterisation. British Journal of Urology, 48, 297–310.
Smith, P H, Cook, J B & Burt, A A (1976). Percutaneous Cystostomy in Paraplegia—A Follow-up of 41 patients. Paraplegia, 14, 135–137.
Tribe, C R & Silver, J R (1969). Renal Failure in Paraplegia. London: Pitman Medical.
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Peatfield, R., Burt, A. & Smith, P. Suprapubic catheterisation after spinal cord injury: a follow-up report. Spinal Cord 21, 220–226 (1983). https://doi.org/10.1038/sc.1983.35
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DOI: https://doi.org/10.1038/sc.1983.35