Does optimizing bladder management equal optimizing quality of life? Correlation between health-related quality of life and urodynamic parameters in patients with spinal cord lesions

Urology. 2009 Aug;74(2):263-6. doi: 10.1016/j.urology.2009.02.047. Epub 2009 May 9.

Abstract

Objectives: To analyze the influence of bladder management on patient well-being by correlating the objective urodynamic results of bladder treatment with the perceived quality of life in patients with spinal cord lesions.

Methods: In a prospective study, 41 consecutive patients with neurogenic lower urinary tract dysfunction due to a spinal cord lesion who were performing intermittent self-catheterization underwent urodynamic examination and answered the German version of the Qualiveen (Coloplast A/S, Humlebaek, Denmark) questionnaire. The urodynamic results were classified as either treatment success or failure. The results of the Qualiveen questionnaire were correlated with these results.

Results: The Qualiveen scales concerning fears and feelings were significantly worse in patients with suboptimal bladder function compared with those patients with treatment success.

Conclusions: The results of our study have demonstrated that a treatment regimen leading to favorable urodynamic data and continence correlates with better quality of life.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cholinergic Antagonists / therapeutic use
  • Female
  • Humans
  • Male
  • Middle Aged
  • Quality of Life*
  • Spinal Cord Injuries / complications*
  • Surveys and Questionnaires
  • Urinary Bladder, Neurogenic / physiopathology
  • Urinary Bladder, Neurogenic / psychology
  • Urinary Bladder, Neurogenic / therapy*
  • Urinary Catheterization
  • Urodynamics
  • Young Adult

Substances

  • Cholinergic Antagonists