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Contrary to common belief, walking after SCI is not among the most important indicators of quality of life, but adequate control of bladder function (including minimizing the disruption of UTI or CAUTI) is [6-8]. Therefore, providers, patients, and hospital systems all have a vested interest in accurately identifying this burdensome condition. For simplification, UTI will be used throughout this paper to represent UTI and CAUTI in this population.
JMIR Res Protoc 2025;14:e52610
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To objectively assess the function of the lower urinary tract, uroflowmetry and bladder diaries (BD) are commonly used noninvasive examinations for those experiencing LUTS.
Uroflowmetry can measure various parameters during the voiding phase, including maximum flow rate (Qmax), and voided volume, which are essential metrics. Additional parameters, such as flow pattern, time to Qmax, flow time, and average flow rate, provide further insights [1].
Interact J Med Res 2025;14:e66694
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Some clinical practices have rigorous protocols in place, with standardized drinking and voiding intervals combined with pretreatment volume checks using bladder ultrasounds [4]. Yet bladder scan volumes vary by as much as 20% from daily cone-beam computerized tomography (CT) volumes, leaving much to be desired [5,6].
JMIR Cancer 2024;10:e51061
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Late lesions involve blood vessel damage and fibrosis of the bladder wall, which may progress chronically and lead to bladder atrophy and even retraction in the most extreme cases [5]. Clinical signs vary depending on the dominant clinical form: cystalgia, pollakiuria, bladder hyperactivity, and isolated mictional disorders.
JMIR Res Protoc 2023;12:e38362
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