Patients with incontinence after lumbar spine trauma can improve urinary symptoms by means of cystostomy. Patients with incontinence due to spinal cord injury from lumbar spine trauma have bladder contraction dysfunction and often require catheterization or cystostomy to improve urinary symptoms, but it should be noted that cystostomy does not restore bladder contraction. Functional recovery after spinal cord injury is the key to restoring bladder contractility. After cystostomy, you should pay attention to the cleanliness and hygiene of the fistula tube, and change the fistula tube regularly to avoid urinary tract infection. Patients with incontinence after lumbar spine trauma should go to a regular hospital to be evaluated by a professional doctor to see if they need to have a cystostomy, and be treated under the doctor’s guidance.