Madersbacher H
Neuro-Urologische Ambulanz, Landeskrankenhaus-Univ.-Kliniken Innsbruck.
Urologe A. 1999 Jan;38(1):24-9. doi: 10.1007/s001200050240.
In neurogenic bladder dysfunction conservative treatment is preferred whenever possible and preservation of renal function remains the main topic. Additionally, a patient-related form of bladder management with decreased intravesical pressure and social dryness is needed. Therefore many strategies are available and after evaluation of the underlying neurogenic bladder dysfunction an individual kind of treatment can be used. Possible options are the clean intermittent catherization, anticholinergic drugs, detrusor triggering, electrical stimulation and bladder emptying by Valsalva's manouvre.
在神经源性膀胱功能障碍中，只要有可能，首选保守治疗，保护肾功能仍然是主要课题。此外，还需要一种与患者相关的膀胱管理方式，以降低膀胱内压并实现社会意义上的干爽。因此，有多种策略可供选择，在评估潜在的神经源性膀胱功能障碍后，可以采用个体化的治疗方法。可能的选择包括清洁间歇性导尿、抗胆碱能药物、逼尿肌触发、电刺激以及通过瓦尔萨尔瓦手法进行膀胱排空。
