Madersbacher H, Weissteiner G
Eur Urol. 1977;3(2):82-4. doi: 10.1159/000472065.
Preservation of kidney function and management of incontinence are the main goals of urological rehabilitation in patients with neurogenic bladder disturbance. It is also the assumption of social intergration. Whereas in male patients this problem can be mostly solved, if need be, by a urinal, females still rely on pads or operative procedures with the risk of complications and failures. For this group of patients intermittent catheterization and, respectively, intermittent self-catheterization, is in selected cases a helpful and harmless method to achieve this goal. Contrary to operative procedures nothing is destroyed and all possibilities remain open for further and better treatment, hopefully soon available. This report presents our experience and results from 12 female patients with neurogenic urinary incontinence, who were treated with this method between 1972 and 1976.
保护肾功能和处理尿失禁是神经源性膀胱功能障碍患者泌尿外科康复的主要目标。这也是实现社会融合的前提。对于男性患者，如有需要，这个问题大多可以通过使用尿壶解决，而女性患者仍依赖尿垫或手术操作，存在并发症和手术失败的风险。对于这类患者，在某些特定情况下，间歇性导尿以及相应的间歇性自我导尿是实现这一目标的一种有益且无害的方法。与手术操作不同，这种方法不会破坏任何组织，所有进一步更好治疗的可能性仍然存在，有望很快实现。本报告介绍了我们对12例神经源性尿失禁女性患者的治疗经验和结果，这些患者在1972年至1976年间接受了这种治疗方法。
