Conservative Treatment of the Traumatic Neurogenic Bladder Dysfunction

Overview

The goal of the conservative treatment of neurogenic bladder dysfunction is preservation of upper urinary tract and improving continence. The multifactorial approach is needed in the decision and the treatment must be individualized according to the results and side effects, patients and his family compliace. The therapy facilitating urine storage is focused on inhibiting bladder contractility, decreasing sensory input and increasing bladder capacity or increasing outlet resistance. The therapy facilitating voiding is focused except clean intermittent (auto)catheterization on increasing bladder contractility and decreasing outlet resistance. The combination of different approaches is frequent. 

Key words:
neurogenic dysfunction of urinary tract, conservative treatment.