Article révisé par les pairs
Résumé : Objective To determine the different causes of urinary incontinence in spinal cord injured under intermittent catheterization. Method A retrospective study on 261 cases taken from a global file, 637 patients followed for six years, from 1st January 2007 to 31st December 2013 inclusive. Results We collected 261 cases of spinal cord injury patients who benefited from intermittent catheterization. The etiology of traumatic spinal injury was predominant (83.91%), dominated mainly by road accidents. The motor deficit was registered in most cases the lower case with 165 members (63.22%) complete paraplegia and 11 cases (04.21%) of incomplete paraplegia. The intensity of the neurological deficit was characterized by the severity score ASIA A to 65.13% and 31.80% ASIA B. The level of spinal cord injury showed a predominance of damage at C5, C6, D10 and D12. The causes of urinary leakage were the fact that 35.97% of urinary tract infections (109 cases), 27.72% instability of the bladder detrusor (84 cases) and 17.16% behavioural causes (52 cases). The means of diagnosis were the EMU, the urodynamics, ultrasound, cystography and cystometry. Conclusion The occurrence of urinary incontinence in spinal cord injury is an additional handicap further impairing their quality of life. The urinary infection, functional disorders of the lower urinary tract and bad behaviour in the management of drinking and adherence were the main causes of urinary leakage. Good management and better collaboration between nurses and patients will minimize the occurrence of urinary incontinence in spinal cord injury.