Abstract:
:Different conservative treatment modalities for the lower urinary tract dysfunction in patients with spinal cord lesion are reviewed. Conservative treatment is still the mainstay of the urological management in these patients. Growing experience has changed the classical approach. Spontaneous voiding with and without triggered voiding and/or bladder expression has proven to be less safe except in well defined patients with regular urological follow-up. Nowadays, intermittent catheterisation and self catheterisation with and without bladder relaxants are accepted as the methods of choice. Condom catheters are still needed if incontinence persists, while penile clamps have no place in the treatment of patients with spinal cord lesions. Long-term indwelling catheters should be avoided. External electrical stimulation can be used to correct the neurogenic dysfunction by neuromodulation and/or to induce a direct therapeutic response in the lower urinary tract.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Wyndaele JJ,Madersbacher H,Kovindha Adoi
10.1038/sj.sc.3101160subject
Has Abstractpub_date
2001-06-01 00:00:00pages
294-300issue
6eissn
1362-4393issn
1476-5624journal_volume
39pub_type
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