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With the introduction of clean intermittent catheterization (CIC) and anti\u2010cholinergic medication, urinary tract deterioration in this population has declined. Nevertheless, this strategy is problematic for patients who are unable to perform CIC. Suprapubic cystostomy (SPC) is widely viewed as a secondary option, which has a high satisfaction rating among patients, with acceptable clinical efficacy. Despite early reports of long\u2010term renal and bladder complications, recent evidence has demonstrated that improved anti\u2010cholinergic pharmacotherapy and bladder maintenance strategies can enhance SPC efficacy, with diminished morbidity. We set out to review the current literature on SPC in the neuropathic bladder setting and to clarify future management direction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials<\/jats:title><jats:p>This investigation consisted of a literature search of the MEDLINE and PUBMED databases. Inclusion criteria were related to SPC, indwelling catheterization, urodynamics, spinal cord injury and bladder dysfunction. Our analysis comprised 56 studies, including retrospective analyses and case reports. Investigations regarding surgical technique as well as short and long\u2010term efficacy were also included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Early studies reported accelerated renal deterioration and lower urinary tract complications, including stones, recurrent infections and blocked catheters. Procedural complications were generally rare. In contrast, recent investigations, in which patients were managed with anti\u2010cholinergics, frequent catheter changes and bladder washing, and volume maintenance procedures demonstrated similar morbidity profiles to CIC. Neurourol. Urodynam. 27:475\u2013479, 2008. \u00a9 2008 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.20569","type":"journal-article","created":{"date-parts":[[2008,6,12]],"date-time":"2008-06-12T20:56:55Z","timestamp":1213304215000},"page":"475-479","source":"Crossref","is-referenced-by-count":80,"title":["Contemporary Role of Suprapubic Cystostomy in Treatment of Neuropathic Bladder Dysfunction in Spinal Cord Injured Patients"],"prefix":"10.1002","volume":"27","author":[{"given":"Andrew","family":"Feifer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Corcos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,6,12]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)61055-3"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)43549-X"},{"key":"e_1_2_1_4_2","first-page":"1120","article-title":"Fate of patients started on clean intermittent self\u2010catheterization therapy 10 years ago","volume":"129","author":"Dikono AC","year":"1983","journal-title":"J Orol"},{"key":"e_1_2_1_5_2","volume-title":"Spinal cord injury: The facts and figures","author":"Stover SL","year":"1986"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/sc.1990.75"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1983.tb06557.x"},{"key":"e_1_2_1_8_2","first-page":"220","article-title":"Suprapubic catheterization after a spinal cord injury: A follow\u2010up report","volume":"21","author":"Peatfield RC","journal-title":"Paraplegia"},{"key":"e_1_2_1_9_2","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1016\/S0022-5347(17)66332-8","article-title":"Management of urologic complications in 1000 paraplegics","volume":"79","author":"Bunts RC","year":"1958","journal-title":"J Urol"},{"key":"e_1_2_1_10_2","unstructured":"BorsE ComarAE.Neurological Urology. 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