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Int Neurourol J > Volume 8(1); 2004 > Article
Clinical Investigation
Journal of the Korean Continence Society 2004;8(1): 26-30.
DOI: https://doi.org/10.5213/jkcs.2004.8.1.26   
Changes of Voiding Methods in Patients with Spinal Cord Injury.
Jeong Hwan Seo, Kwan Min Kim, Myoung Hwan Ko, Seung Yong Na
Department of Rehabilitation Medicine, Chonbuk National University Medical School, Jeonju, Korea. 604-5854@hanmail.net
ABSTRACT
PURPOSE
To investigate the changes of voiding methods according to the time after discharge and to clarify the reason of changing voiding method.
MATERIALS AND METHODS
One hundred and seventeen patients with spinal cord injury were enrolled. We classified these patients into five groups such as normal voiding, reflex voiding, intermittent catheterization, Foley catheter, and suprapubic cystostomy group. We interviewed the patients for necessary information including current voiding method and reason of changing voiding method.
RESULTS
50% of intermittent catheterization patients changed to reflex voiding method. 66% of these patients changed the voiding method without consult with their physician. Higher percentage of the paraplegic patients with intermittent catheterization changed to reflex voiding than the quadriplegic patients. Moreover, female patients indwelt the catheters due to absence of external collecting device than males.
CONCLUSION
It is necessary to follow up the voiding methods of patients with spinal cord injury more closely to avoid the following inadvertent complications.
Keywords: Spinal cord injuries; Bladder; Neurogenic


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