Conservative treatment of the neuropathic bladder in spinal cord injured patients.

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 Cord

journal_title

Spinal cord

authors

Wyndaele JJ,Madersbacher H,Kovindha A

doi

10.1038/sj.sc.3101160

subject

Has Abstract

pub_date

2001-06-01 00:00:00

pages

294-300

issue

6

eissn

1362-4393

issn

1476-5624

journal_volume

39

pub_type

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