Volume 27, Issue 1 (Spring--In Press 2026)
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Yao F, Lu X, Zha Y, Li J, Wei H. Effectiveness of Ultrasound-Guided Urethral Balloon Dilation for Urinary Retention Following Spinal Cord Injury: Protocol for a Zelen-design randomized. jrehab 2026; 27 (1)
URL: http://rehabilitationj.uswr.ac.ir/article-1-3687-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3687-en.html
1- School of Nursing and Rehabilitation, Shandong University, Jinan 250012, Shandong, China & Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, 250012, Shandong, China.
2- School of Nursing and Rehabilitation, Shandong University, Jinan 250012, Shandong, China
3- Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, 250012, Shandong, China. ,kkkk-9806@163.com
2- School of Nursing and Rehabilitation, Shandong University, Jinan 250012, Shandong, China
3- Rehabilitation Center, Qilu Hospital of Shandong University, Jinan, 250012, Shandong, China. ,
Abstract: (163 Views)
Objective: The primary aim of this study is to evaluate the effectiveness of ultrasound-guided urethral balloon dilation (UBD) in improving voiding function in patients with spinal cord injury–related urinary retention, and the key secondary aims are to assess the impact of UBD on psychological status and health-related quality of life.
Methods: A randomized controlled trial based on the Zelen design will be conducted. A total of 74 patients with SCI-related urinary retention will be recruited and randomized into a conventional rehabilitation group or a UBD treatment group. Primary outcomes include post-void residual urine volume (PVR), voiding diary data, and urodynamic parameters. Secondary outcomes include quality of life (SF-Qualiveen), bladder symptom scores (NBSS, CLSS), psychological status (HADS), and ultrasonographic assessments of urethral structure and mobility (e.g., external urethral sphincter thickness, urethral width, sphincter volume, and urethral mobility).
Results: This is a protocol paper; results are not yet available and will be reported in the primary publication.
ConclusionThis protocol aims to evaluate whether ultrasound-guided UBD is a feasible and clinically useful option for managing urinary retention after SCI. The findings will provide preliminary evidence to inform its future clinical application.
Methods: A randomized controlled trial based on the Zelen design will be conducted. A total of 74 patients with SCI-related urinary retention will be recruited and randomized into a conventional rehabilitation group or a UBD treatment group. Primary outcomes include post-void residual urine volume (PVR), voiding diary data, and urodynamic parameters. Secondary outcomes include quality of life (SF-Qualiveen), bladder symptom scores (NBSS, CLSS), psychological status (HADS), and ultrasonographic assessments of urethral structure and mobility (e.g., external urethral sphincter thickness, urethral width, sphincter volume, and urethral mobility).
Results: This is a protocol paper; results are not yet available and will be reported in the primary publication.
ConclusionThis protocol aims to evaluate whether ultrasound-guided UBD is a feasible and clinically useful option for managing urinary retention after SCI. The findings will provide preliminary evidence to inform its future clinical application.
Keywords: Spinal cord injury, Urinary retention, Ultrasound, Urethral balloon dilation, Randomized controlled trial, Zelen design
Type of Study: Original |
Subject:
Physical Medicine
Received: 3/10/2025 | Accepted: 24/12/2025 | Published: 1/05/2026
Received: 3/10/2025 | Accepted: 24/12/2025 | Published: 1/05/2026
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