{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T14:27:26Z","timestamp":1766068046690,"version":"3.37.3"},"reference-count":29,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004875","name":"Norrbacka-Eugeniastiftelsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004875","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019851","name":"Wellspect","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019851","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SJU"],"abstract":"<jats:p>Aims: To examine the number and types of urological surgical procedures carried out in a regional prevalence population of patients with traumatic spinal cord injury (SCI) during five decades, evaluate objective and patient-reported outcomes and to consider lessons learned for further improvement of surgical treatment in this patient group.\nMethods: In a cross-sectional study of 412 patients with traumatic SCI, one-third had undergone urological surgery through a period of up to 50 years. Data on types of surgery, complications, follow-up and outcomes were collected in a retrospective review of patient files. S-creatinine, S-cystatin-C, renal ultrasound and a questionnaire regarding complications during the preceding year were assembled as part of a yearly follow-up. Descriptive statistics were calculated. Logistic regression was used to determine risk profiles for the incidence of urological surgery.\nResults: A total of 137 patients had undergone 262 urological surgical interventions. The incidence was highest amongst persons with a cervical-thoracic neurological level of spinal cord lesion and during the first 2 years after SCI. Surgery for urinary stones constituted 29% of all procedures. One-fourth of the patients had undergone 47% of all procedures, notably urinary diversion and ensuing complications, implants and revisions, repeated stone interventions or bladder outlet procedures. After reconstructive surgery functional outcomes and patient-reported satisfaction were generally favourable, but long-term signs of renal complications were frequent.\nConclusions: Urological surgery after SCI involves imperative as well as reconstructive procedures, some of which are challenging and call for centralisation to devoted teams. Prospective studies of reconstructive urology are warranted, including more extensive patient-reported outcomes.<\/jats:p>","DOI":"10.2340\/sju.v59.40326","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T13:48:51Z","timestamp":1729777731000},"page":"173-180","source":"Crossref","is-referenced-by-count":1,"title":["The Stockholm Spinal Cord Uro Study: Changing patterns of urological surgery in a regional prevalence group through 50 years \u2013 Outcomes and lessons learned"],"prefix":"10.2340","volume":"59","author":[{"given":"Elisabeth","family":"Farrelly","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lena","family":"Lindbo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c5ke","family":"Seiger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1183","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"key":"81411","doi-asserted-by":"crossref","unstructured":"Farrelly E, Lindbo L, Wijkstr\u00f6m H, et al. The Stockholm Spinal Cord Uro Study: 1. Basic characteristics and problem inventory. Scand J Urol. 2019; 53(6): 403\u2013410. https:\/\/doi.org\/10.1080\/21681805.2019.1673812","DOI":"10.1080\/21681805.2019.1673812"},{"key":"81412","doi-asserted-by":"crossref","unstructured":"Farrelly E, Lindbo L, Wijkstr\u00f6m H, et al. The Stockholm Spinal Cord Uro Study: 2. Urinary tract infections in a regional prevalence group. Frequency, symptoms, and treatment strategies. Scand J Urol. 2020; 54(2): 155\u2013161. https:\/\/doi.org\/10.1080\/21681805.2020.1734078","DOI":"10.1080\/21681805.2020.1734078"},{"key":"81413","doi-asserted-by":"crossref","unstructured":"Farrelly E, Lindbo L, Seiger \u00c5. The Stockholm Spinal Cord Uro Study: 3. Urodynamic characteristics in a regional prevalence group of persons with spinal cord injury and indications for improved follow-up. Scand J Urol. 2021; 55(5): 412\u2013418. https:\/\/doi.org\/10.1080\/21681805.2021.1954994","DOI":"10.1080\/21681805.2021.1954994"},{"key":"81414","doi-asserted-by":"crossref","unstructured":"Eldahan KC, Rabchevsky AG. Dysreflexia after spinal cord injury: systemic pathophysiology and methods of management. Auton Neurosci. 2018; 209: 59\u201370. https:\/\/doi.org\/10.1016\/j.autneu.2017.05.002","DOI":"10.1016\/j.autneu.2017.05.002"},{"key":"81415","doi-asserted-by":"crossref","unstructured":"Wyndaele JJ, Birch B, Boraus A, et al. Surgical management of the neurogenic bladder after spinal cord injury. World J Urol. 2018; 36: 1569\u20131576. https:\/\/doi.org\/10.1007\/s00345-018-2294-7","DOI":"10.1007\/s00345-018-2294-7"},{"key":"81416","unstructured":"European Association of Urology Guidelines. Edition presented at the EAU Annual Congress in Milan 2021. EAU Guidelines: Neuro-Urology | Uroweb. EAU Central Office, Arnhem, The Netherlands."},{"key":"81417","unstructured":"Elliott S, Gomez R, eds. Urologic management of the spinal cord injured patient. A joint SIU-ICUD International Consultation. SIU Academy; 2017. SIU Cental Office, Montreal, Canada. SIU-ICUD | Soci\u00e9t\u00e9 Internationale d\u2019Urologie (siu-urology.org)"},{"key":"81418","unstructured":"Abrams P, Cardozo L, Wagg A, et al., eds. Incontinence 6th Edition. ICI-ICS. Bristol UK: International Continence Society; 2017. Neurological Urinary Incontinence. Surgical treatment of Incontinence. Chapter 10:6, 1142\u20131178."},{"key":"81419","doi-asserted-by":"crossref","unstructured":"Sekido N, Igawa Y, Kakizaki H, et al. Clinical guidelines for the diagnosis and treatment of lower urinary tract dysfunction in patients with spinal cord injury. Int J Urol. 2020; 27: 276\u201388. https:\/\/doi.org\/10.1111\/iju.14186","DOI":"10.1111\/iju.14186"},{"key":"81420","doi-asserted-by":"crossref","unstructured":"Ginsberg DA, Boone TB, Cameron AP, et al. The AUA\/SUFU guideline on adult neurogenic lower urinary tract dysfunction: treatment and follow-up. J Urol. 2021; 206: 1106\u20131113. https:\/\/doi.org\/10.1097\/JU.0000000000002239","DOI":"10.1097\/JU.0000000000002239"},{"key":"81421","unstructured":"Levi R, Ertzgaard P. Quality indicators in spinal cord injury care: a Swedish collaborative project. The Swedish Spinal Cord Injury Council 1998. Scand J Rehabil Med Suppl. 1998; 38: 1\u201380."},{"key":"81422","doi-asserted-by":"crossref","unstructured":"Biering-S\u00f8rensen F, DeVivo MJ, Charlifue S, et al. International spinal cord injury core data set (version 2.0)-including standardization of reporting. 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Urinary diversion and bladder reconstruction\/replacement using intestinal segments for intractable incontinence or following cystectomy. Cochrane Database Syst Rev. 2012; 2: CD003306. https:\/\/doi.org\/10.1002\/14651858.CD003306.pub2","DOI":"10.1002\/14651858.CD003306.pub2"},{"key":"81435","doi-asserted-by":"crossref","unstructured":"Pan D, Troy A, Rogerson J, et al. Long-term outcomes of external sphincterotomy in a spinal injured population. J Urol. 2009; 181(2): 705\u2013709. https:\/\/doi.org\/10.1016\/j.juro.2008.10.004","DOI":"10.1016\/j.juro.2008.10.004"},{"key":"81436","doi-asserted-by":"crossref","unstructured":"Gao Y, Danforth T, Ginsberg DA. Urologic management and complications in spinal cord injury patients: A 40- to 50-year follow-up study. Urology. 2017; 104: 52\u201358. https:\/\/doi.org\/10.1016\/j.urology.2017.03.006","DOI":"10.1016\/j.urology.2017.03.006"},{"key":"81437","doi-asserted-by":"crossref","unstructured":"Holmbom M, Andersson M, Grabe M, et al. 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