Purpose To review currently available guidelines and recommendations regarding urological follow-up of patients after spinal cord injury (SCI) and present an evidence-based summary to support clinicians in their clinical practice. Methods Maximum data were collected according to different methods, including searches with multiple and specific key - words, reference checks, gray literature searches (congress reports, working papers, statement documents), and browsing- related Web site access. Obtained data were analyzed with the modified version of the Oxford grading system for recom - mendations using levels of evidence (LE) and grades of recommendation (GR). Results Different surveillance strategies exist, but there is no consensus among authors and organizations. As a result, prac - tice patterns vary around the world. The present review indicates that proper urological follow-up of SCI patients should consist of medical history (LE 1-4, GR B-C), clinical examination (LE 4, GR C), renal laboratory tests (LE 1-3, GR B), imaging surveillance of the upper urinary tract (LE 1-3, GR A-B), urodynamic study (LE 2-4, GR B-C), and cystoscopy/ cytology (LE 1-4, GR D). Clinicians agree that SCI patients should be followed up regularly with an individually tailored approach. A 1-year follow-up schedule seems reasonable in SCI patients without
International Urology and Nephrology – Springer Journals
Published: Mar 22, 2018
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