{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T10:22:43Z","timestamp":1761128563313},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2005,10,19]],"date-time":"2005-10-19T00:00:00Z","timestamp":1129680000000},"content-version":"vor","delay-in-days":3944,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[1995,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Various options exist for the management of the lower urinary tract in chronic spinal cord injury. These options include chronic indwelling catheterization, urethral sphincterotomy, and intermittent catheterization supplemented with anticholinergic agents.<\/jats:p><jats:p>Sixty\u2010four spinal cord injured patients, treated with intermittent catheterization and anticholinergic therapy, were evaluated for long\u2010term efficacy in maintaining upper tract status and preservation or improvement in continence. Complications of therapy were also evaluated. Therapy was based upon initial urodynamic evaluation followed by limited subsequent evaluation of the urinary tract.<\/jats:p><jats:p>Mean follow\u2010up was 54 months. Only I patient developed hydronephrosis. Fifty\u2010nine patients either became continent or experienced improved continence on therapy Eight patients required surgical procedures either to increase outlet resistance (2) or to decrease intravesical pressures (6).<\/jats:p><jats:p>The most common complication of therapy was urinary tract infection. Thirty\u2010nine infections occurred in 23 patients, 16 of which were febrile. Fifteen patients were non\u2010compliant with treatment recommendations. The only factor related to therapeutic complications which reached statistical significance was non\u2010compliance with therapy.<\/jats:p><jats:p>The combined use of intermittent catheterization and anticholinergic agents provides an effective means to prevent hydronephrosis and establish continence in chronic spinal injury. \u00a9 1995 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/nau.1930140109","type":"journal-article","created":{"date-parts":[[2007,3,4]],"date-time":"2007-03-04T13:07:44Z","timestamp":1173013664000},"page":"47-55","source":"Crossref","is-referenced-by-count":12,"title":["Non\u2010operative management of the urinary tract in spinal cord injury"],"prefix":"10.1002","volume":"14","author":[{"given":"Roger R.","family":"Dmochowski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kumaresan","family":"Ganabathi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gary E.","family":"Leach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,10,19]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"5","article-title":"The standardization of terminology of lower tract function. 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