I. What is neurogenic bladder?
It is the dysfunction of urination due to neuropathy or damage caused by various reasons such as spinal cord injury, spinal cord dysplasia, spinal cord tumor, trauma, cerebrovascular accident, traumatic brain injury, etc.
Second, what are the manifestations of neurogenic bladder?
Neurogenic bladder mainly causes two abnormalities in clinical performance: 1. abnormal function in the storage phase mainly manifests as urinary frequency, urinary urgency, urinary incontinence, reduced or enlarged bladder capacity, etc.; 2. abnormal function in the voiding phase mainly manifests as difficulty in urination, weakness, waiting for urination, prolonged voiding time, incomplete urination, increased residual urine, urinary retention, etc.
Urinary disorders cause great inconvenience to patients and their families, and patients may need auxiliary devices such as urinary catheters, urine bags, urine pads, urine pants, external urine collectors, etc. Third, what are the hazards of neurogenic bladder?
1, if the associated storage period and voiding function abnormalities do not get scientific and reasonable urinary management, may lead to recurrent urinary tract infections, stones, serious bladder deformation, diverticulum formation, polyp hyperplasia, tumors and other complications, serious cases can lead to vesicoureteral reflux, kidney and ureteral effusion, and even renal failure, endangering life!
2, all patients with neurogenic voiding dysfunction should be guided by professionals to take a reasonable and correct way of urination, poor voiding methods can cause irreversible damage to the entire urinary system within a short period of time due to the serious complications mentioned above!
Fourth, the treatment principles of neurogenic bladder: 1, if the primary disease can be recovered or cured, the primary disease should be actively treated, while during the treatment period, take measures to protect the bladder and urethral function.
2, If the primary disease cannot be recovered, measures should be taken to try to treat bladder and urethral dysfunction and related complications.
3, The primary goal of treatment is to prevent upper urinary tract fluid accumulation and renal function damage, followed by improving quality of life.
4.The treatment sequence should follow the principle of conservative first and then invasive to minimize the trauma and pain of patients.