Catheterization Method and Functional Recovery of Neurogenic Bladder in Spinal Cord Injury
JAMA Network Open 10.1001/jamanetworkopen.2025.22030July 21, 2025 at 11:00 AM EDT
Is the choice between indwelling and intermittent catheterization associated with the likelihood of regaining volitional bladder control after spinal cord injury, independently of general neurological recovery?In this propensity score–matched cohort study of 1032 adults with spinal cord injury, those managed with intermittent catheterization were more than twice as likely to regain bladder control within 1 year compared with those with indwelling catheters, with no differences in general neurological recovery. These findings were statistically significant.The choice of catheterization method was significantly associated with bladder function recovery after spinal cord injury, supporting the prioritization of intermittent catheterization to optimize patient outcomes.
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