Spinal cord embolism is difficult to treat and patients suffer a lot of pain, especially since some patients continue to have problems with bowel and lower extremity dysfunction after surgery. Although surgery cannot directly solve these two problems, it can alleviate these symptoms or delay their onset to prevent further aggravation. If bowel and lower extremity dysfunction was already present before surgery, these problems are likely to persist after surgery. What should patients do to address them? First, let’s look at why spinal embolism can cause urinary and bowel dysfunction. Normal urination does not require force to completely empty the bladder at a rate that can be controlled at will. In other words, the ability to pass urine does not necessarily mean that the bladder is functioning normally. Attention must also be paid to the amount of urine passed each time, the number and interval of urination per day, whether there is leakage in the interval of urination, whether force is required to pass urine, and whether the urine can be emptied. Since the function of defecation and urination is innervated by the spinal nerves at the lower end of the spinal cord, during the process of spinal cord strain, the relevant spinal nerves will be deprived of blood and oxygen, and thus cannot normally innervate the function of urination and defecation. If the condition is not too severe and the timing of the surgery is appropriate, most patients will be able to improve their bowel function after surgery. For a small number of patients whose bowel movements have not yet recovered, active defecation training is needed on the one hand, and dietary adjustments can be made to promote defecation, such as eating laxative vegetables and fruits and drinking more water to prevent dry stools. If necessary, you can use open cork laxative. The recovery of urinary function is more complicated, as urinary retention usually occurs, but not urinary incontinence, which requires urinary training in a urology department or a specialized rehabilitation institution. Since long-term urinary retention can easily lead to bladder enlargement and even neurogenic bladder (i.e., dysfunction of the vesicourethra caused by damage to the central nervous system or peripheral nerves that control urinary function), hydronephrosis, and retrograde urinary tract infections. Therefore, to prevent hydronephrosis and infection, bladder and kidney ultrasound and urodynamic tests are performed to assess urinary function. Patients with postoperative urinary retention can use catheters for intermittent clean catheterization to prevent further progression of urinary retention and damage to the urinary system on the one hand; on the other hand, to train the neurological system for voluntary urinary function. However, it is not recommended to leave the catheter in place for a long period of time, as it can easily lead to urinary tract infection if not well cared for. Some patients think that if they can’t urinate, they can easily drink more water, but in fact, drinking a lot of water will increase the burden on the kidneys, so patients should drink the normal amount of water and not hold urine excessively. During the recovery period of urination and defecation, there are certain fluctuations or recurrence in the recovery situation, patients do not need to worry too much, functional exercise is needed for a period of time. Some patients are even psychologically affected by fluctuations in their condition, so just relax.