English
Russian
Structure of traumatic neurogenic urination disorders in modern armed conflict DOI: 10.29188/2222-8543-2025-18-3-140-145
- Protoshchak V.V. – Dr. Sci., professor, Head of Urology Department of S.M. Kirov Military Medical Academy; Saint Peterburg, Russia; RSCI Author ID 608157, https://orcid.org/0000-0002-4996-2927
- Paronnikov M.V. – Dr. Sci., Deputy Head of Urology Department of S.M. Kirov Military Medical Academy; Saint Peterburg, Russia; RSCI Author ID 898084, https://orcid.org/0009-0005-1762-6100
- Karpuschenko E.G. – PhD, urologist of Urology Clinic of S.M. Kirov Military Medical Academy; Saint Peterburg, Russia; RSCI Author ID 774197, https://orcid.org/0000-0001-7464-5926
- Chibirov K.Kh. – urologist at Leningrad Regional Clinical Hospital; Saint Peterburg, Russia; RSCI Author ID 641132
- Kislitsyn P.O. – urologist, head of the Department of Neurourology and Urodynamics of the clinic of urology S.M. Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation; St. Petersburg, Russia; RSCI Author ID 1228173, https://orcid.org/0009-0007-5949-3902
- Babkin P.A. – Dr. Sci., Professor of Urology Department of S.M. Kirov Military Medical Academy; Saint Peterburg, Russia; RSCI Author ID 265891, https://orcid.org/0000-0003-0829-2661
- Kushnirenko N.P. – Dr. Sci., associate professor of Urology Department of S.M. Kirov Military Medical Academy, RSCI Author ID 907517
- Nikolaev A.M. – аdjunct of the Department of Urology at the Kirov Military Medical Academy; Saint-Peterburg; https://orcid.org/0009-0008-0593-4562
81 Introduction. Modern warfare is characterized by a high frequency of combined injuries with damage to the central (CNS) and peripheral nervous systems (PNS). One of the complications of such injuries is neurogenic voiding dysfunction. This area of medicine remains understudied, which necessitates further research.
The aim of this study is to assess the frequency and preliminary structure of neurogenic voiding disorders in combatants with damage to the central and peripheral nervous systems in the context of modern warfare.
Materials and methods. Patients with combat surgical trauma who received treatment at the clinics of the S.M. Kirov Military Medical Academy from February 2022 to May 2025 were examined. The frequency of lower urinary tract dysfunction and associated complications wounded with combat injuries of the CNS and PNS were evaluated. In patients with preserved spontaneous voiding, the severity and structure of bladder emptying disorders were analyzed based on the International Prostate Symptom Score (IPSS) questionnaire, voiding diary, uroflowmetry, and ultrasound examination.
Results. Nervous system’s injuries were identified in 19,8% of the examined individuals, with a predominance of CNS trauma (70,7%) and gunshot (93,6%) combined (93,8%) wounds of moderate and severe degree. Neurogenic voiding disorders were diagnosed in 55,3% of such pa- tients; 65,7% of them had a complete loss of spontaneous urination, where the leading drainage method was cystostomy (64,8%), associated with extremely severe CNS injuries and a high risk of infection (cystitis – 74,1%, pyelonephritis – 20,8%) and non-infectious (bladder stones – 15,7%) complications. In 34,3% of patients, urination was preserved or restored; this group was dominated by mild to moderate injuries with an irritative type of disorder and a lower frequency of complications, among which vesicoureteral reflux (18,9%) and bladder diverticula (12,6%) prevailed. Patients on periodic self-catheterization had an intermediate frequency of complications.
Conclusions. The data obtained indicates a high frequency of neurogenic lower urinary tract dysfunctions in combatants. This requires their early detection, staged treatment, and medical rehabilitation to prevent life-threatening urological complications and improve the quality of life of the wounded persons.
| Attachment | Size |
|---|---|
| Download | 410.23 KB |
Other issue articles
