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Electroejaculation in men with spinal cord injury: a step-by-step video demonstration.

OBJECTIVE: To demonstrate the proper technique to perform electroejacuation (EEJ) in men with spinal cord injury (SCI) for the purpose of in … ill demonstrate the proper technique for successful ejaculation using EEJ. Patients with history of autonomic dysreflexia or their level of injury is T6 or rostral are pretreated with 10-20 mg of nifedipine sublingually 10 minutes before stimulation. The patient is then placed in the lateral decubitus position. The bladder is emptied, and a buffer is instilled. An anos …

Pediatric spinal cord injury: a review by organ system.

In this article, an overview is provided of pediatric spinal cord injury, organized by effects of this injury on various organ systems. Specific management differences between children and adults with spinal cord injury are highlighted. A detailed management approach is offered for particularly complex topics, such as spasticity and upper extremity reconstruction.

Is cerebral autoregulation impaired in Parkinson's disease? A transcranial Doppler study.

Orthostatic hypotension (OH) is one of the many autonomic disturbances observed in Parkinson's disease (PD). It has been debated whether an additional impairment of cerebral autoregulation (CA) in PD patients may exacerbate the consequences of OH upon brain perfusion. We assessed CA in PD patients and the potential influence of dopaminergic agents. CA was determined by means of transcranial Doppler (TCD) monitoring of the middle cerebral artery (MCA) at rest and during a thigh cuff release test inducing a systemic blood pressure (BP) drop. Fourteen patients were investigated when taking their

Sexuality in people assigned female at birth with spinal cord injury: the challenges encountered.

BACKGROUND: Spinal Cord Injury (SCI) can impact sexual function negatively, and although most people continue to be sexually active post-inj … sm, pain during penetration, spasticity, barriers related to bowel/bladder problems and episodes of autonomic dysreflexia), psychosocial factors like the presence of concomitant anxiety/depression and sexual violence from a partner affected their sexual lives adversely. We attempt to elucidate the strategies adopted to improve sexual satisfaction that can help professi …

A simple radiological technique for demonstration of incorrect positioning of a foley catheter with balloon inflated in the urethra of a male spinal cord injury patient.

In a male patient with cervical spinal cord injury, the urinary bladder may go into spasm when a urethral catheter is removed and a new Fole … ladder. When a Foley balloon is inflated in the urethra, a tetraplegic patient is likely to develop autonomic dysreflexia. This is a medical emergency and requires urgent treatment. Before the incorrectly placed Foley catheter is removed, it is important to document whether the balloon has been inflated in the urinary bladder or not. The clinician should first use the …

Exercise recommendations for individuals with spinal cord injury.

Persons with spinal cord injury (SCI) exhibit deficits in volitional motor control and sensation that limit not only the performance of dail … risks related to systemic dysfunction following the spinal injury. These individuals may exhibit an autonomic dysreflexia, significantly reduced bone density below the spinal lesion, joint contractures and/or thermal dysregulation. Persons with SCI can benefit greatly by participation in exercise activities, but those benefits can be enhanced and the relative risks may …

Co-localization of substance P and dopamine beta-hydroxylase with growth-associated protein-43 is lost caudal to a spinal cord transection.

After spinal cord injury, abnormal responses of spinal cord neurons to sensory input lead to conditions such as autonomic dysreflexia, urinary bladder dyssynergia, muscle spasticity and chronic pain syndromes. These responses suggest that the spinal cord undergoes marked reorganization after an injury. In previous studies, we demonstrated changes in individual patterns of immunoreactivity for growth-associated protein-43, dopamine beta-hydroxylase and substance P that suggest growth and/or changes in expression of neurotransmitter enzymes and peptides in the cord caudal to a transection injury…

Preliminary reliability and validity of a Spinal Cord Injury Secondary Conditions Scale.

BACKGROUND/OBJECTIVE: Although the impact of secondary conditions after spinal cord injury (SCI) on health, well being, and financial burden have been studied, there are psychometrically sound scales of secondary conditions in the extant literature. The use of such scales allows for cross-sample comparison of secondary condition prevalence rates and associations with functional, medical, and psychosocial factors. Thus, the purpose of this study was to evaluate the preliminary reliability of a SCI secondary conditions scale. METHODS: The Spinal Cord Injury Secondary Conditions Scale (SCI-SCS)

Botulinum-A toxin for treating detrusor hyperreflexia in spinal cord injured patients: a new alternative to anticholinergic drugs? Preliminary results.

PURPOSE: We evaluated the efficacy of botulinum-A toxin injections into the detrusor muscle in patients with spinal cord injury, detrusor hy … increased significantly from a mean of 261.8 +/- 241.3 ml. to 490.5 +/- 204.8 (p <0.016). Moreover, autonomic dysreflexia associated with bladder emptying that manifested as a hypertensive crisis during voiding disappeared after treatment in the 3 patients with tetraplegia. Satisfaction was high in all successfully treated patients and no side effects were observed. On …

Urological care of the spinal cord-injured patient.

Spinal cord injury (SCI) is a catastrophic occurrence affecting the lives of 11,000 people in the United States every year. Urologic complications account for much of the morbidity associated with SCI and as much as 15% of the associated mortality. Spinal cord-injured patients are required to digest a plethora of self-management information during the emotionally and psychologically distressing period immediately following their injury. As a vital resource in the SCI patients' recovery process, it is crucial for the WOC nurse to have knowledge of the specialized needs of this population. This

Medical rehabilitation of people with spinal cord injury during 40 years of academic physiatric practice.

There are many different paths that lead to an academic physiatric career and a lifelong interest in spinal cord injury (SCI) medicine. It is unfortunate that after decades of cellular-based research in multiple laboratories, there are still no interventions available that can reverse the neurologic loss that follows SCI. In contrast, medical rehabilitation research during the last 40 yrs has led to remarkable improvements in the lives of persons with SCI as evident in their increased life expectancy, shorter hospitalizations, fewer rehospitalizations, and more effective treatments for male se

The behavioral effects of antibiotic treatment on the snail Biomphalaria glabrata.

OBJECTIVES: To determine whether capsaicin-sensitive nerves in the bladder form the afferent limb involved in autonomic dysreflexia (AD) in patients with spinal cord injury (SCI). PATIENTS AND METHODS: Seven men with SCI (five cervical cord, two thoracic cord) with AD and detrusor hyper-reflexia (DH) were enrolled. Under general anaesthesia, capsaicin solution (100 mL of 2 mmol/L in 10% ethanol) was instilled in the bladder and retained for 30 min. The patients were assessed by medium-fill cystometry (CMG) just before and 50 min after the capsaicin treatment. Intra-arterial blood pressure (BP…

Искусственный интеллект и машинное обучение в нейрогенной дисфункции нижних мочевых путей и травме спинного мозга: текущее состояние, новые технологии и этические перспективы.

Искусственный интеллект (АИ) и машинное обучение все чаще применяются во всех областях урологии, при этом особое значение придается нейрогенной дисфункции нижних мочевых путей (НЛУТД) у лиц с повреждениями спинного мозга (КВП). Кроме того, существуют особые перспективы в том, что касается лечения NLUTD — сложного, пожизненного состояния, затрагивающего людей с SCI, а также связанного с множественным склерозом, болезнью Паркинсона и другими неврологическими расстройствами. В этой статье содержится всеобъемлющий анализ нынешней и формирующейся роли МА в нейроурологии с уделением особого внимания

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… Continuous wearable bladder monitoring could fundamentally change the management of autonomic dysreflexia and prevent dangerous bladder over-distension events. … Silent autonomic dysreflexia during voiding in men with spinal cord injuries. J Urol. (1996) 155:519–22. doi: 10.1097/00005392-199602000-00030 54. Stothers L, MA. …

Passive movements for the treatment and prevention of contractures.

BACKGROUND: Contractures, a common complication following immobility, lead to restricted joint range of motion. Passive movements (PMs) are … occurrence of adverse events such as joint subluxations or dislocations, heterotopic ossification, autonomic dysreflexia and fractures or muscle tears. Secondary outcomes were quality of life, pain, spasticity, activity limitations and participation restrictions. We used standard methodological procedures as advocated by the Cochrane Handbook for Systematic Reviews of …

Нейрогенная желудочно-кишечная, мочевая и сексуальная дисфункция при множественном склерозе: многодисциплинарная основа для клинической практики.

Нейрогенные желудочно-кишечные, мочевые и сексуальные симптомы широко распространены у людей с множественным склерозом и существенно ухудшают качество жизни, повседневное функционирование и психосоциальное благополучие. Несмотря на их частотность и клиническую актуальность, управление по-прежнему носит разрозненный характер по различным специальностям, тесная взаимосвязь между этими симптомами зачастую игнорируется, а у клинических работников отсутствует прагматическая основа, адаптированная к различным условиям здравоохранения. Этот обзор преобразует нынешние данные в прагматичную модель уход

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… Finally, surgical options include midurethral sling (in stress incontinence), augmentation cystoplasty (if CIC is possible) and urinary diversion (if CIC is not possible). 47 Neurologists should be aware that patients with spinal cord lesions at or above T6 may display autonomic dysreflexia manifesting … Managing autonomic dysreflexia during urological care in individuals living with spinal cord injury. Nat Rev Urol. 2025 doi: 10.1038/s41585-025-01026-6. 49. Lew-Starowicz M., Rola R. Prevalence of sexual dysfunctions among women with multiple sclerosis. …

Probiotics for preventing urinary tract infection in people with neuropathic bladder.

BACKGROUND: Neuropathic or neurogenic bladder describes a process of dysfunctional voiding as the result of injury in the brain, spinal cord … % CI 0.08 to 1.19; I2 = 82%).Two studies reported adverse events. One study reported one episode of autonomic dysreflexia. One study reported three symptomatic UTI occurring in two patients, and two studies mentioned the absence of septicaemia and pyelonephritis. Intravesical instillation was reported as "generally safe". One study reported high attrition rates in part …

Разрывы Фемура в травматизме Спинала Корда.

У лиц, получивших травму спинного мозга (КВП), происходит быстрая и глубокая потеря костей ниже уровня повреждения, предвосхищая их хрупкими трещинами. Ввиду их частотности и клинического воздействия бедренная хрупкость у пациентов СКИ требует особого внимания. Цель этого обзора литературы состоит в обобщении текущих данных об эпидемиологии, патофизиологии, диагностике, управлении и предотвращении бедренной хрупкости у пациентов СКИ. Был проведен всеобъемлющий поиск литературы в базах данных анализа медицинской литературы и системы ретровиваля в онлайновом режиме (MedLINE) и сводного индекса м

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… Additionally, in patients with SCI at the level of T6 or above, fractures of the femur may first present themselves with autonomic dysreflexia, a life-threatening emergency [ 32 ]. … dysreflexia after hip fractures managed by regional anesthesia: a case report A A Pract Huynh A Ryan R Patel R Molina A Olson AM Schwenk ES 0 16 2022 10.1213/XAA.0000000000001556 35020604 33 Fragility fracture of proximal femur in a paraplegic patient during passive joint movements J Orthop Case Rep …

Nontraumatic Spinal Cord Injury: Epidemiology, Etiology and Management.

The spinal cord is a conduit within the central nervous system (CNS) that provides ongoing communication between the brain and the rest of the body, conveying complex sensory and motor information necessary for safety, movement, reflexes, and optimization of autonomic function. After a traumatic spinal cord injury (SCI), supraspinal influences on the peripheral nervous system and autonomic nervous system (ANS) are disrupted, leading to spastic paralysis, sympathetic blunting, and parasympathetic dominance, resulting in cardiac dysrhythmias, systemic hypotension, bronchoconstriction, copious re

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… Such assessments should assist in determining comorbidities that might prolong the rehabilitation stay, including neurogenic restrictive/obstructive lung disease, neurogenic orthostatic hypotension, autonomic dysreflexia, neuropathic pain, spasticity, neurogenic bladder, neurogenic bowel, thermodysregulation … Although lesions are more likely to be incomplete, people with NTSCI in the cervical and upper thoracic cord are at risk for dysphagia, neurogenic restrictive and obstructive lung disease, neurogenic bradycardia and dysrhythmias, neurogenic orthostatic hypotension (NOH), autonomic dysreflexia, adaptive …

Давление может быть серьезно повышено при инъекции детруса ботулиновым токсином А.

ВВЕДЕНИЕ: Токсин ботулинового токсина А (BONT/A-DI) используется у пациентов с избыточным мочевым пузырем (OAB) или нейрогеническим мочевым пузырем в результате множественных склерозов (MS) или повреждения спинного мозга. Эта процедура, как правило, проводится под местной анестезией. Мы изучили влияние BONT/A-DI на кровяное давление, наиболее важный автономный параметр для бодрых пациентов, в качестве потенциального фактора риска сердечно-сосудистых заболеваний.МАТЕРИАЛ & МЕТОДЫ: Пациенты с OAB или спонтанно опустошающие с нейрогенной детрозной активностью (NDO) из-за MS, в которых BONT/A-DI п

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… Hypertension due to bladder filling However, an increase in blood pressure can also be caused solely by a fuller urinary bladder; this occurs not only in patients with paraplegia, in whom the phenomenon of autonomic dysreflexia [ 17 ] is well-known (this did not occur in our patient population because …