Abstract
There has been a profound change in the survival of patients with spinal injuries since the advent of specialised units dedicated to the care of these unfortunate patients. Soon after the first world war, it became evident that renal failure as a result of upper urinary tract obstruction and/or urosepsis was the prime cause of mortality. The gratifying change in the mortality has been carefully recorded over the last 30 years. In 1961 it was found to be around 50% (Breithaupt et al. 1961). By 1968 the mortality figure had dropped to 36% (Jousse et al. 1968) and yet a further drop was found in 1973 at 30.8% (Geisler et al. 1977). Renal failure was still at this point the leading cause of death, and the death rate from it approximately three times that of the normal population.
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References
Bors E (1954) Bladder disturbances and management of patients with injury to the spinal cord. J Int Coll Surg 21: 513–527
Brannen GE, Bush WH, Correa RJ et al. (1985) Kidney stone removal: percutaneous versus surgical lithotomy. J Urol 113: 6–12
Breithaupt DJ, Jousse AT, Wynne-Jones M (1961) Late cause of death and life expectancy in paraplegia. Can Med Assoc J 85: 73–77
Bush WH, Brannen GE, Gibbons RP et al. (1984) Radiation exposure to patient and urologist during percutaneous nephrostolithotomy. J Urol 132: 1148–1152
Chaussy C, Schmiedt E (1983) Shock wave treatment for stones in the upper urinary tract. Urol Clin North Am 10: 743–750
Chaussy C, Schmiedt E (1984) Four years experience with extracorporeal shock wave lithotripsy (ESWL) in Munich. J Urol 131: 264a
Clayman RV, Surya V, Miller RP et al. (1983) Percutaneous nephrolithotomy. An approach to branched and staghorn renal calculi. JAMA 250: 73–75
Cosbie Ross J (1965) Vesico-ureteric reflux in the neurogenic bladder. Br J Surg 52: 164–167
Elder JS, Gibbons RP, Bush WH (1984) Ultrasonic lithotripsy of a large staghorn calculus. J Urol 131: 1152–1154
Fairley KF, Bond AG, Brown RB et al. (1967) Simple test to determine the site of urinary tract infection. Lancet 2: 427
Finlayson B, Thomas WC Jr (1984) Extracorporeal shock wave lithotripsy. Ann Intern Med 101(3): 387–389
Ford TF, Watson GM, Wickham JEA (1983) Transurethral ureteroscopic retrieval of ureteric stones. Br J Urol 55: 626–628
Gardner BP, Parsons KF, Soni BM, Krishnan KR (1985) The management of upper tract calculi in spinal cord damaged patients. Paraplegia 23: 371–378
Gardner BP, Parsons KF, Machin DG, Galloway A, Krishnan KR (1986) Urological management of spinal cord damaged patients: a clinical algorithm. Paraplegia 24: 138–147
Geisler WO, Jousse AT, Wynne-Jones M (1977) Survival in traumatic transverse myelitis. Paraplegia 14: 262–275
Geisler WO, Jousse AT, Wynne-Jones M, Briethaupt DJ (1983) Survival in traumatic spinal cord injury. Paraplegia 21: 364–373
Huffman JL, Bagley DM, Schoenberg HW, Lyon ES (1983) Transurethral removal of large ureteral and renal pelvic calculi using ureteroscopic ultrasonic lithotripsy. J Urol 130: 31–34
Jousse AT, Wynne-Jones M, Breithaupt DJ (1968) A follow-up study of life expectancy and mortality in traumatic transverse myelitis. Can Med Assoc J 98: 770–772
Lee WJ, Loh G, Smith AD et al. (1985) Percutaneous extraction of renal stones: experience in 100 patients. AJR 144: 451–455
Machin DG, Gardner BP, Woolfenden KA et al. (1985) A physiological approach to the investigation of chronic urinary retention. Br J Urol 57: 141–144
Marberger M, Stackl W, Hruby W, Kroiss A (1985) Late sequelae of ultrasonic lithotripsy of renal calculi. J Urol 133: 170–173
Mayo ME, Kriegger JN, Rudd TG (1985) Effect of percutaneous nephrostolithotomy on renal function. J Urol 133: 167–169
O’Reilly PH, Shields RA, Testa HJ (eds) (1986) Nuclear medicine in urology, 2nd edn. Butterworths, London
Puri P, O’Donnell B (1984) Correction of experimentally produced vesicoureteric reflux in the piglet by intravesical injection of teflon. Br Med J 289: 5–7
Puri P, O’Donnell B (1987) Endoscopic correction of grades IV and V primary vesicoureteric reflux: six to 30 month follow-up in 42 ureters. J Pediatr Surg 22: 1087–1091
Segura JW (1984) Endourology. Review article. J Urol 132: 167–169
Segura JW, Patterson DE, LeRoy AJ et al. (1983) Percutaneous lithotripsy. J Urol 130: 1051–1054
Stamey TA, Pfau A (1963) Some functional, pathologic, bacteriologic and chemotherapeutic characteristics of unilateral pyelonephritis in man: II. Bacteriologic and chemotherapeutic characteristics. Invest Urol 1: 162
Watson GM, Wickham JEA, Mills TN et al. (1983) Laser fragmentation of renal calculi. Br J Urol 55: 613–616
Weber W, Chaussy C, Madler C et al. (1984) Cardiocirculatory changes during anaesthesia for extracorporeal shock wave lithotripsy. J Urol 131: 246a
Wickham JEA, Kellett MJ, Miller RA (1983) Elective percutaneous nephrolithotomy in 50 patients: an analysis of the technique, results and complications. J Urol 129: 904–906
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© 1991 Springer-Verlag London
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Gardner, B.P., Parsons, K.F. (1991). Upper Urinary Tract Dilatation and Stones. In: Parsons, K.F., Fitzpatrick, J.M. (eds) Practical Urology in Spinal Cord Injury. Clinical Practice in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-1860-2_5
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DOI: https://doi.org/10.1007/978-1-4471-1860-2_5
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