Substandard urological care of elderly patients with spinal cord injury: an unrecognized epidemic?

摘要: We report the anecdotal observation of substandard urological care elderly paraplegic patients in community suffering from long-term sequelae spinal cord injuries. This article is designed to increase awareness a problem that likely underreported and may represent ‘tip iceberg’ related provided vulnerable population with chronic neurological impairment. A registered Nurse changed urethral catheter an 80-year-old-male paraplegia; patient developed profuse bleeding septicaemia. Ultrasound revealed balloon Foley located membranous urethra. Flexible cystoscopy was performed inserted over guide wire. Urethral recurred 12 days later. discharged after protracted stay unit. nurse 82-year-old male paraplegia. The did not drain urine; pain lower abdomen. visible behind meatus, which indicated had been inflated penile removed 16 French per About 1300 ml urine drained. 91-year-old lady paraplegia underwent routine ultrasound examination urinary tract by Consultant Radiologist, who reported 4 cm × 3 cm soft tissue mass bladder. Cystoscopy without anaesthesia lithotomy position. normal bladder mucosa; no stones; tumour. Following cystoscopy, right knee became swollen there deformity third thigh. X-ray fracture femur. Femoral treated immobilisation full plaster cast. Follow-up tract, senior outline tumour or calculus. adverse outcomes can be averted if injury are senior, experienced health professionals, familiar changes body systems due old age, compounded further injury.