Urolog. pro Praxi, 2009; 10(2): 79-81

Urological continuing care after Transversal Spinal Lesion

MUDr. Martin Sutorý, CSc

Klinika Traumatologie LF MU se Spinální jednotkou v Úrazové nemocnici v Brně

Neurogennic dysfunction of the lower urinary tract develops in majority of patients after transversal spinal lesion (TSL). It is distinguished

by a relative state of instability, which requires regular monitoring. Diagnostics, monitoring and therapy should be in the hands of renowned

specialized neurological centers. Up to 2 years after injury, check-ups are necessary every 3–6 months; after that once every

1–2 years depending on risk factors. Routine monitoring can be performed by a general practitioner or a local urologist. It comprises

physical and laboratory tests once a year, ultrasound examinations once every half a year, urine monitoring once every two months,

continuous urine monitoring with a diagnostics strip once every 14 days. Based on risk factors or recurring complication it is necessary to

do systematic check on all levels.

Keywords: transversal spinal lesion, neurogennic voiding dysfunction, continuing urological care, spinal cord injury, neurogennic urinary bladder, neurourological investigation.

Published: April 1, 2009  Show citation