神经原性膀胱的治疗手段（A therapeutic device for neurogenic bladder）.docVIP

神经原性膀胱的治疗手段（A therapeutic device for neurogenic bladder） [Objective] to discuss the etiology and treatment of neurogenic bladder [Department of Urology discussion board] A therapeutic device for neurogenic bladder N nonoperative treatment N catheterization [medical education network] Indications: paralytic bladder, urinary retention, urinary reflux, severe urinary incontinence. Methods: continuous catheterization, intermittent catheterization, intermittent open catheterization Continuous catheterization: applicable to the loss of ability to urinate in patients with unconsciousness, spinal shock stage bladder paralysis caused by urinary retention and detrusor hyperreflexia and urethral depression, sphincter dysfunction patients. Methods: indwelling catheter and bladder fistula. Intermittent catheterization: 1. the bladder pressure is low, there is no detrusor reflex, no obvious urinary incontinence and ureteral reflux 2., movement paralysis bladder dysfunction, external sphincter function normal, medical education network collection. Collection and arrangement of medical education network 3. detrusor overactivity, detrusor sphincter dysfunction, but detrusor overactivity may be inhibited by drugs 4. patients with cauda equina, sacral spinal cord lesion, bladder denervation, pelvic nerve lesion, demyelinating lesion, detrusor free inhibitory contraction, and external urethral sphincter dysfunction Bladder depression, detrusor contraction, bladder retention of urine, the need for external forces to assist urination. Intermittent open catheterization: indwelling catheter, open the catheter once every 3-4 hours, empty the bladder. Collection and arrangement of medical education network Apply to: no reflection of residual urine excessive period and recovery of spinal cord injury shock detrusor. Bladder detrusor function is expected to recover in a period of time. N trigger point urination (induced detrusor reflex voiding) Some of the sacral nerve injury patients by tappin