Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): My mother fell in 1998 lumbar vertebrae; several sections of the crushed fracture; under the plate joint; after; in the next few years; urethral obstruction; urination is not smooth; urine can not be thrown; have to go to their own estimates to urinate; each time you have to squeeze the small abdomen and cauda equina nerve with your hand; to urinate out. Now creatinine 329; some time ago also urine pus. It is a maintenance bar. There is no significant control. I’d like to ask if my mother can have a permanent cystostomy in this case. Or should we go to a large hospital to see a neurologist? Patient: urea 11.06 creatinine 329.0 B2-microglobulin 12.2 uric acid 281 carbonic acid spasmodium 26 Jin Ruixia: should have done a cystostomy long ago, permanently. Why is a good kidney suffocated into such a serious hydronephrosis, to the point of renal failure, a pity? The actual cystostomy is a good way to get rid of the fluid, and the kidney function may be restored, otherwise the kidney will fail completely. The neurology department will not be able to solve the problem of spinal cord recovery. Patient: Hello doctor; thank you for your reply. I would like to ask again; my mother after this fistula surgery; the puncture port in the future will not often infect ah, what are the precautions, patients: my mother recently dropped anti-inflammatory water; ciprofloxacin; phosphomycin; instead; creatinine is rising. It went up by 14 in nine days. This is why, Jin Ruixia: obstruction is not lifted, the kidney, ureter, bladder are pus accumulation, anti-inflammatory drugs will not work well, any drug has side effects, so the delay is urgent to lift the obstruction, fistula. The actual “I’ve got a lot more than a few of these, but I’ve got a lot more than a few of these. The cauda equina nerve has been unconscious for thirteen years. All these years, defecation was done by squeezing the cauda equina with my hands. The cystostomy is a very simple procedure. You should discuss the details with your local urologist.