How to treat neurogenic bladder?

summary

There are many reasons for neurogenic bladder * usually, such as congenital spina bifida, trauma, surgery and other causes of urinary retention and voiding disorders. The biggest threat of such diseases is the damage to renal function. As a complex disease, how to treat neurogenic bladder? How can it be?

How to treat neurogenic bladder?

First: acupuncture therapy: acupuncture treatment of diabetes caused by sensory paralysis bladder has a good effect, especially for early lesions.

Second: blocking therapy: advocated by Bors, this method is suitable for upper motor neuron disease (detrusor hyperreflexia). For motor neuron disease (detrusor no reflex), the effect is not good. The residual urine volume was significantly reduced and the micturition symptoms were significantly improved in the patients with good effect. In a few patients, the effect can be maintained for several months to one year after one closure. These patients only need regular local delivery, without surgery. The blocking therapy was carried out in the following order: (1) mucous membrane blocking: the bladder was emptied with a catheter, 90 mL of 0.25% Pantocaine solution was injected and discharged after 10-20 minutes（ 2) Bilateral pudendal nerve block（ 3) Selective sacral nerve block: block a pair of sacral nerves in S2-4 each time. If there is no effect, S2, S4 and S4 block can be used.

Third: bladder training and expansion: this method can be used to treat patients with frequent urination, acute urination, no residual urine or few residual urine. Ask the patients to drink 200ml every hour in the daytime. The time between urination should be extended as far as possible to make the bladder expand gradually.

matters needing attention

It's the most common thing for people to have this neurogenic bladder, but it's also a very easy thing to ignore. You need to pay attention to your clothes, otherwise you will get sick.