Care of patients with neurogenic bladder

Care of patients with neurogenic bladder: First, if the patient is self-care, then regular intermittent catheterization is recommended. Disinfection of the urethral opening is performed first, and then a disposable catheter is used to perform the catheterization treatment. In principle, it is appropriate to catheterize once every 2-4 hours to keep the bladder at a low pressure. Second, for patients who cannot care for themselves, cystostomy is recommended. After surgery, the chaperone needs to disinfect the fistula opening, which can be done 1-2 times a day with iodophor solution. The fistula bag needs to be changed every 1 week or so and the fistula tube needs to be changed every 2-4 weeks or so. Generally, bladder irrigation is needed about 1-3 times a week, depending on the condition of the patient’s drainage tube and the drainage of urine. Third, for patients without catheterization or cystostomy, hand pressure assisted voiding can be used to promote bladder emptying. However, it can only be used for a short period of time. Women can use it by gently pressing the lower abdomen with their hands and instructing the patient to do urination to promote the discharge of residual urine from the bladder. However, intermittent catheterization or an indwelling cystostomy tube should be considered if voiding function is not restored for a long period of time.