[Current principles of urological management of patients with injuries of the spine and spinal cord]

Abstract

Urological management of patients with the neurogenic bladder resulting from the traumatic injury of the spinal cord differs according to the subsequent periods. During the spinal shock it includes: clean intermittent catheterization, prevention of the lithiasis and urinary tract infections with the use of antiseptics and acidifiers patients' acquaintance with their state and of necessity of the intensive co-operation in the process of the rehabilitation. At the transition period, one should attempt and efficient bladder voiding, prevent urinary infections, uro- and nephrolithiasis and establish patient's responsibility for the condition of his bladder. At the stabilization period, main effort aims at preserving the efficient bladder voiding and avoiding renal and urinary complications in the kidneys after hospitalization. It is advisable to develop and to improve urological care to prolong and to improve the life of the patient the spinal cord's injury.