Risk factors of bladder stones in neurogenic lower urinary tract dysfunction: A real‐world study

Objective The objective of this study is to investigate the incidence and risk factors for stone formation and recurrence in patients with neurogenic lower urinary tract dysfunction (NLUTD) in a real‐world cohort. Materials and methods A retrospective cohort study was conducted on all patients with...

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Veröffentlicht in:BJUI compass Jg. 5; H. 3; S. 359 - 365
Hauptverfasser: Möhr, Sandra, Fassbind, Saskia, Gahl, Brigitta, Seifert, Hans‐Helge, Bausch, Kathrin
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States John Wiley & Sons, Inc 01.03.2024
John Wiley and Sons Inc
Wiley
Schlagworte:
Bladder
calcium phosphate
Catheters
Disease
Health risks
Kidney stones
Multiple sclerosis
Original
Patients
risk factors
spinal cord injury
Surgery
Uric acid
Urinary tract infections
Urine
Urogenital system
urolithiasis
Urology
spinal cord injury
urolithiasis
risk factors
calcium phosphate
urinary tract infections
ISSN:2688-4526, 2688-4526
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Zusammenfassung:Objective The objective of this study is to investigate the incidence and risk factors for stone formation and recurrence in patients with neurogenic lower urinary tract dysfunction (NLUTD) in a real‐world cohort. Materials and methods A retrospective cohort study was conducted on all patients with NLUTD who underwent bladder stone treatment between 2010 and 2022. Univariate and multivariate Cox models were used to identify the potential risk factors for stone recurrence. Results Among 114 patients included in the study, 30% experienced stone recurrence. The most common stone components were carbonate apatite phosphate and magnesium ammonium phosphate. The overall recurrence rate was 14 cases per 100 patient years. Neurogenic detrusor overactivity had the highest recurrence rate. Risk factors for stone recurrence in the multivariate analysis were intermittent and suprapubic catheterization, and recurrent urinary tract infection (rUTI). Conclusions Patients experienced multiple bladder stone recurrences. Close monitoring of bladder pressure and UTI with restrictive catheter application may reduce the risk of stone recurrence.
Bibliographie:Funding information
This research received no specific grants, funding or other support from any industrial or commercial company or funding agency.
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Funding information This research received no specific grants, funding or other support from any industrial or commercial company or funding agency.
ISSN:2688-4526
2688-4526
DOI:10.1002/bco2.330