1.Water intake and output control training Establishing a system of regular and quantitative drinking and regular urination is the basic measure of bladder training. Patients should be instructed to drink water regularly and evenly, not exceeding 400ml at a time, to avoid overfilling of the bladder. The time between drinking and urination is usually 1-2h, and the total daily urine volume is controlled at about 800-1000ml.
2.Intermittent catheterization Method of catheterization without indwelling catheter performed by non-medical personnel after medical staff instruction, frequency of use for those who cannot urinate on their own is 3-4 times a day, patients who can partially urinate can be 1-2 times a day, the catheterization action should be gentle and not rough to avoid urethral injury.
3.Bladder sphincter control training Use the pelvic floor muscle training method, that is, active contraction of the anus, each contraction lasts 10s, repeat 10 times, 3-5 times a day.
4.Micturition reflex training Discover and induce trigger points in order to promote the contraction of the detrusor muscle through reflex mechanisms. Use the common methods of lightly buttoning the suprapubic area, pulling the pubic hair and rubbing the inner thighs, etc. Be gentle when buttoning the trigger point and avoid excessive weight to avoid dysfunction of the vesicourethra. The frequency of clasping is 50-100 times per minute.