Table 1.
Neurogenic bowel management table in male patients with chronic traumatic complete SCI
| SCI-male n (%) |
SCI-cervical n (%) |
SCI-thoracic and lumbar n (%) |
p | |
|---|---|---|---|---|
| Course | 62.5 ± 53.98 | 69.4 ± 52.72 | 56.5 ± 54.36 | 0.449 |
| NBD scores | 10.02 ± 5.11 | 11.17 ± 5.16 | 8.7 ± 4.72 | 0.119 |
| Defecation time | 35.33 ± 16.766 | 41.789 ± 19.29 | 30 ± 13.94 | 0.026 |
| Pathogenesis | Traffic accident 16 (37.2%) Bruised by heavy object 9 (20.9%) Falling down 9 (20.9%) Other causes 9 (20.9%) |
Traffic accident 10 (50%) Bruised by heavy object 4 (20%) Falling down 3 (15%) Other causes 3 (15%) |
Traffic accident 6 (26.1%) Bruised by heavy object 5 (21.7%) Falling down 6 (26.1%) Other causes 6 (26.1%) |
|
| Frequency of bowel care | Once a day 17 (39.5%) Not daily but more than twice every week 26 (60.5%) |
Once daily 5 (25%) Not daily but more than twice every week 15 (75%) |
Once daily 12 (52.2%) Not daily but more than twice every week 11 (47.8%) |
|
| Main techniques for faecal evacuation | Suppository 38 (88.4%) Digital stimulation 7 (16.3%) Manual evacuation 10 (23.3%) Spontaneous 2 (4.7%) |
Suppository 20 (100%) Digital stimulation 6 (30%) Manual evacuation 8 (40%) |
Suppository 18 (78.3%) Digital stimulation 1 (2.3%) Manual evacuation 2 (4.6%) Spontaneous 2 (4.6%) |
|
| Supplementary interventions | Abdominal massage 25 (58.1%) Digital anus–rectal stimulation 21 (48.8%) Digital evacuation 4 (9.3%) Taking cathartic drug 4 (9.3%) |
Abdominal massage 10 (50%) Digital anus–rectal stimulation 7 (35%) Digital evacuation 2 (10%) Taking cathartic drug 1 (5%) |
Abdominal massage 15 (65.2%) Digital anus–rectal stimulation 14 (60.9%) Digital evacuation 2 (8.7%) Taking cathartic drug 3 (13%) |
|
| Timing of bowel care | Morning 4 (9.3%) Afternoon 27 (62.8%) Evening 9 (20.9%) Inconsistent 3 (7%) |
Morning 1 (5%) Afternoon 14 (70%) Evening 5 (25%) |
Morning 3 (13%) Afternoon 13 (56.5%) Evening 4 (17.4%) Inconsistent 3 (13%) |
|
| Location during evacuation | Bed 19 (44.2%) Toilet seat 8 (18.6%) Potty chair 16 (37.2%) |
Bed 12 (60%) Toilet seat 2 (10%) Potty chair 6 (30%) |
Bed 7 (30.4%) Toilet seat 6 (26.1%) Potty chair 10 (43.5%) |
|
| Degree of assistance needed | Need all help 23 (53.5%) Need partial help 10 (23.3%) Independent completion 9 (20.9%) Need special help 1 (2.3%) |
Need all help 19 (95%) Need special help 1 (5%) |
Need all help 4 (17.4%) Need partial help 10 (43.5%) Independent completion 9 (39.1%) |
|
| Abdominal discomfort | 27 (62.8%) | 12 (60%) | 15 (65.2%) | |
| Constipation | 29 (67.4%) | 14 (70%) | 15 (65.2%) | |
| Bloating symptom | 32 (74.4%) | 16 (80%) | 16 (69.6%) | |
| Flatus incontinence | 38 (88.4%) | 18 (90%) | 20 (87%) | |
| Lifestyle alteration due to NBD | Major impact 25 (58.1%) Some impact 15 (43.9%) Little impact 3 (7%) |
Major impact 12 (60%) Some impact 6 (30%) Little impact 2 (10%) |
Major impact 13 (56.5%) Some impact 9 (39.1%) Little impact 1 (4.3%) |
|
| Top 3 complication desired to be solved | Neurogenic bowel dysfunction 42 (97.7%) Neurogenic bladder 36 (83.7%) Sexual dysfunction 19 (44.2%) Spasm 14 (32.6%) Neuralgia 8 (18.6%) |
Neurogenic bowel dysfunction 19 (95%) Neurogenic bladder 16 (80%) Sexual dysfunction 8 (40%) Spasm 7 (35%) Neuralgia 3 (15%) |
Neurogenic bowel dysfunction 23 (100%) Neurogenic bladder 20 (87%) Sexual dysfunction 11 (47.8%) Spasm 7 (30.4%) Neuralgia 5 (21.7%) |