Signiifcance of hyaluronate irrigation combined with visual feedback for neurogenic bladder in the patients with spinal cord injury
SHI Xiu-xiu
YUAN Yan-li
TANG Jin-shu
QIN Jiang
HU Yuan
HOU Shu-xun
CHANG De-di
WANG Xiao-jing
CAO Jing-jing
ZHANG Tie-song
Abstract：Objective To observe the hyaluronate irrigation combined with visual feed back in the treatment of neurogenic bladder after spinal cord injury ( SCI ).Methods Fifteen patients who suffered from neurogenic bladder following SCI were involved in this study. Early hyaluronate irrigation was used in the bladder under safety pressure ( < 40 cm H2O ). Under supervision, visual feedback urination training began when the small bladder gradually expanded up to effective capacity. Before and after the hyaluronate irrigation, safe bladder capacity, urine output, urine residue, micturition time history, etc were recorded after the visual feedback training.Results After 2 to 12 week’s hyaluronate irrigation training, except for 1 case of with longer time of damage, all the rest patients’ safe bladder capacity were more than 300 ml. After 2 to 6 weeks’ visual feedback training, urinary relfex was established in patients without automatic micturition relfex ( 12 cases ). The residual urine was less than 80 ml. The average time of urinating each day was 9.67±4.25 after the treatment, which was obviously lower than 17.5±5.64 before the treatment. The average urination volume each time was ( 160.50±25.31 ) ml after the treatment, which was obviously more than ( 70.25±23.18 ) ml before the treatment, with statistically signiifcant differences between them (P<0.05 ). The average time of urinary incontinence was 5.36±3.21 before the treatment in the patients with frequent urine leakage, which was obviously lower than 12.73±3.74 before the treatment, with statistically significant differences between them (P<0.05 ).Conclusions Hyaluronate irrigation can effectively improve the bladder functions of small capacity and low compliance, reaching a certain urinary storage function. Combined with later visual feedback bladder training,the bladder after spinal cord injury can effectively increases the capacity and decrease the compliance, creating good conditions for the recovery of bladder functions and providing the basis for patients with late effective micturition.
Keywords：Urinary bladderneurogenicFeedbacksensoryUrination disordersSpinal cord injuriesRehabilitationBladder water expansion
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 675-679 )