Rehabilitation care of patients with neurogenic bladder after spinal cord injury: A literature review

Abstract

This article reviews the research progress of rehabilitation treatment and nursing care of patients with neurogenic bladder after spinal cord injury, in order to provide reference for the rehabilitation treatment and nursing care of patients. We reviewed recent medical literature on patients with neurogenic bladder, focusing on neurogenic bladder caused by spinal cord injury. We analyzed 30 recent of publications in patients with neurogenic bladder after spinal cord injury, in addition to reviewing and evaluating the commonly used rehabilitation nursing methods for neurogenic bladder. Psychological counseling is a vital aspect which cannot be neglected in the process of neurogenic bladder rehabilitation. Hitherto, the commonly used drug and surgical treatments may have negatively impacted the mental health of patients in varying degrees. However, in clinical practice, applying intermittent catheterization in patients who have neurogenic bladder with spinal cord injury may help improve patients’ life quality, mitigate psychological burden, and reduce negative emotions.

Case Report: Effect of rTMS on urinary incontinence in major vascular neurocognitive disorder

“…8 To relieve symptoms of UI, many methods have emerged in past decades, such as physiotherapy, psychological care, manual assistance, behavior therapy, drug therapy, urethral catheterization, and surgical treatment. 1,2 Among those invasive methods, pelvic floor muscle training (PFM) was proven to be effective and recommended as the first option, [3][4][5] and a novel PFM program was launched. 6 Based on a series of clinical trials on intravaginal electrical stimulation, 9 transcutaneous electrical nerve stimulation, 10 neuromuscular electrical stimulation 11 and transcutaneous tibial nerve stimulation, 12 Ali et al, 4 summarized that electrical stimulation was beneficial for improving the symptoms of urge urinary incontinence among people with multiple sclerosis and those with stroke.…”

“…To relieve symptoms of UI, many methods have emerged in past decades, such as physiotherapy, psychological care, manual assistance, behavior therapy, drug therapy, urethral catheterization, and surgical treatment. 1,2 Among those invasive methods, pelvic floor muscle training (PFM) was proven to be effective and recommended as the first option, [3][4][5] and series of novel PFM programs were launched. 6 rTMS was also attempted to treat UI in recent years.…”

Acute ampakines increase voiding function and coordination in a rat model of SCI

“…Current therapeutic options for improving bladder dysfunction in SCI patients are not effective and rely primarily on intermittent catheterizations to prevent bladder overfilling and kidney damage. These approaches may further lead to many bladder and kidney function problems ( Xiang et al, 2023 ) . In the present study, we show that CX1739 acutely improves hyporeflexive deficits in bladder function in rats following SCI, as measured by cystometry.…”

Rehabilitation approach and results of using the biofeedback method (GIGER MD device) in children with neurogenic bladder

“…Despite numerous (re)habilitation procedures, this sub-area has 4) urinary diversion by ileal conduit if self-catheterization is impossible (5) suppressing neurogenic detrusor overactivity or compliance alteration (anticholinergics, intra-detrusor botulinum toxin) (6) aponeurotic suburethral tape or artificial urinary sphincter for sphincter insufficiency (7) Transcutaneous Electrical Stimulation for Neurogenic Bladder Dysfunction (8) resorting to surgery is sometimes necessary either after the failure of non-invasive treatments (e.g., bladder augmentation in case of neurogenic detrusor overactivity. Resistant to pharmacological treatment) (8)(9)(10)(11)(12). We here present the GIGER MD method, which may be able to improve some neurogenic bladder treatment procedures.…”