What are the treatment methods of neurogenic bladder?

summary

The dysfunction of bladder and urethra caused by the damage of central nervous system or peripheral nerve is called neurogenic bladder. Urinary tract obstruction or urinary retention is one of the most common symptoms. * urinary tract complications, such as upper urinary tract damage and renal failure, are the main causes of death. What are the treatment methods of neurogenic bladder? Let's talk about it

What are the treatment methods of neurogenic bladder?

Intermittent catheterization can effectively treat neuromuscular voiding dysfunction, relieve the pain of long-term catheterization and even suprapubic cystostomy, and create conditions for further treatment (bladder enlargement, controllable urinary diversion).

Bladder training and dilatation can be used to treat patients with frequent micturition and urgency, no residual urine or little 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.

Blocking therapy this method is suitable for upper motor neuron disease (detrusor hyperreflexia). After blocking, the residual urine volume is significantly reduced, and the symptoms of dysuria are significantly improved. In a few patients, the effect can be maintained for several months to one year after one closure. These patients only need to be closed on a regular basis without surgery.

matters needing attention

Neurogenic cystitis, must be treated as soon as possible, otherwise it will cause urinary tract infection, urinary calculi, or bladder ureteral reflux, choose the correct treatment. Try to avoid indwelling catheterization and urinary diversion.