Urological management and complications in spinal cord injury patients: a 40‐ to 50‐year follow‐up study: mp85‐12

RESULTS: Of the 3307 persons evaluated, 681 (20.7%) were volitionally voiding at discharge from inpatient rehabilitation. This increased to 29.9% at 1-year followup. AIS classification and composite lower extremity motor score were the largest predictors of volitional voiding (p<.001) (Figure 1). Persons in the AIS A and B categories rarely had return of voiding at 1-year follow-up (1.4% and 4.5% respectively) as compared to AIS C and D (27.7% and 74.4% respectively). Several predictors of volitional voiding based on AIS Class were identified. For those with AIS C, younger age and higher composite lower extremity motor score were significant predictors of volitional voiding. These were also significant in the AIS D population, in addition to female gender and the combination of deep rectal sensory and motor function (as compared to sensory alone). CONCLUSIONS: Volitional voiding after SCI is predicted well by AIS Class and lower motor extremity function composite score. In neurologically less impaired patients, female gender and the combination of deep rectal sensory and motor function also help to predict future voiding.