Skip to main content

Etiology of Spinal Cord Injury Affects QOL Outcomes After Bladder Surgery

Medically reviewed by Carmen Pope, BPharm. Last updated on July 3, 2024.

By Elana Gotkine HealthDay Reporter

WEDNESDAY, July 3, 2024 -- For patients undergoing urinary diversion for neurogenic bladder (NGB), the postoperative impact on urinary-related quality of life (UrQOL) is milder for spinal cord injury of congenital (C-SCI) etiology versus acquired (A-SCI) etiology, according to a study published online July 1 in PM&R.

João Pedro Emrich Accioly, M.D., from the Glickman Urological and Kidney Institute at the Cleveland Clinic Foundation, and colleagues compared decisional regret and UrQOL in patients undergoing urinary diversion for NGB arising from A-SCI (17 patients with traumatic spinal cord injury) and C-SCI (20 patients with spina bifida) etiologies. A-SCI was compared to C-SCI in terms of decisional regret, UrQOL, and postoperative changes in self-reported physical health, mental health, and pain.

The researchers found that compared with the C-SCI cohort, the A-SCI group displayed poorer preoperative physical health; after adjustment for baseline scores and follow-up time, absolute postoperative changes in this score and in the mental health score and pain level were not significant. When adjusted for other factors, a significantly worse impact of NGB in UrQOL was seen for A-SCI than C-SCI. Between the groups, there were no differences in decisional regret observed.

"We were able to demonstrate that patients with A-SCI report poorer physical health at baseline and lower UrQOL following reconstructive surgery when compared with a demographically and clinically similar C-SCI population," the authors write. "These findings may be a valuable addition to discussions between health care providers and patients when considering surgical management of NGB."

One author disclosed ties to Boston Scientific.

Abstract/Full Text (subscription or payment may be required)

Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.

© 2025 HealthDay. All rights reserved.

Posted July 2024

Read this next

More Research Needed on Preventive Service Use by People With Disabilities

TUESDAY, March 11, 2025 -- Evidence relating to barriers to and facilitators of clinical preventive service use in people with disabilities is limited, according to a review...

People With Disabilities Often Feel Disrespected by Health Care Workers

MONDAY, March 10, 2025 -- People with disabilities (PwD) are more likely to report negative experiences with the cultural responsiveness of health care providers (HCPs), according...

Low-Frequency Bladder Vibration Beneficial for UTI in Spinal Cord Injury

THURSDAY, March 6, 2025 -- Applying low-frequency bladder vibration (LFBV) to patients with spinal cord injury (SCI)/neurogenic bladder who developed urinary tract infections...

More news resources

Subscribe to our newsletter

Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.