One hundred eight women and 434 men admitted with spinal cord injuries between 1973
and 1987 were observed prospectively to determine the effects of age, sex, neurological
classification, and method of bladder management method on renal function and urological
complications. The primary method of bladder management for women throughout the study
period was indwelling urethral catheterization as compared to condom drainage for
their male counterparts. Renal function was determined by effective renal plasma flow
and urological complications were determined by clinical symptoms and/or objective
findings on intravenous pyelography (IVP). Analysis reveals that as in the general
population advancing age and being female were significantly associated with lower
ERPF (p < .05). Only in men were neurological classification (quadriplegia) and bladder
management (ileoconduit) associated with significant decreases in ERPF (p < .05).
Furthermore, women and men showed no significant differences in urological complication
rates. From the data it can be concluded that there is no particular method of bladder
management for women that necessarily leads to impaired renal function.