caa a22 4500 465752853 CHVBK 20180323111838.0 cr unu---uuuuu 170327e19901201xx s 000 0 eng 10.1007/BF01576343 doi (NATIONALLICENCE)springer-10.1007/BF01576343 Stöhrer M. Urologische Abteilung, BG-Unfallklinik, D-8110, Murnau, FRG aut Alterations in the urinary tract after spinal cord injury—diagnosis, prevention and therapy of late sequelae [Elektronische Daten] [M. Stöhrer] Summary: The life expectancy and quality of life of patients with injuries to the spinal cord greatly depend on the condition of the urinary tract. It is hence necessary that specially trained urologists participate in the treatment of these patients from the beginning. In the last 15 years, excellent diagnostic methods have been developed (especially urodynamic procedures), resulting in the feasibility of individual therapeutic measures on the basis of urodynamic findings. Conservative and surgical methods to improve bladder emptying and thus to reduce the danger to the upper urinary tract are presented and critically evaluated with reference to a large patient population comprising >3000 spinal cord-injured patients in the course of 13 years. Conservative measures such as the specific use of reflex activity, pharmacotherapy, intermittent self-catheterization, as well as graduated operations to lower bladder outlet resistance to a physiological level, were sufficient to attain a compensated situation in >90% of the patients. A part of the remaining problem group profits from more recent surgical methods, with transformation, enlargement, elimination and electrostimulation of the bladder. Today, the vast majority of patients with spinal cord injuries can receive sufficiently definitive treatment with regard to both their life expectancy and their quality of life, with relatively little material effort and inconvenience, even over long periods of time. Springer-Verlag, 1990 World Journal of Urology Springer-Verlag 7/4(1990-12-01), 205-211 0724-4983 7:4<205 1990 7 345 https://doi.org/10.1007/BF01576343 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01576343 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Stöhrer M. Urologische Abteilung, BG-Unfallklinik, D-8110, Murnau, FRG aut NATIONALLICENCE 773 0- World Journal of Urology Springer-Verlag 7/4(1990-12-01), 205-211 0724-4983 7:4<205 1990 7 345 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer