(1) trigger point micturition: trigger point micturition is suitable for a few patients with suprasacral spinal cord injury, and it is necessary to clarify the bladder function of the patients and need long-term urodynamic follow-up. Stimulate the patient to urinate by tapping the suprapubic bladder area and pulling pubic hair.
(2)Crede manual urination: Crede manual urination is suitable for patients with sacral neuropathy, not for patients with vesicoureteral reflux. Put your hands on the pubic symphysis and the top of the bladder, and slowly squeeze the urine into the bladder.
(3) Valsalva manual micturition: Valsalva manual micturition is suitable for patients with subsacral neuropathy, but not for patients with vesicoureteral reflux. When urinating, patients are required to inhale and abdomen, and urine is squeezed out by increasing intra-abdominal pressure.
2, catheterization treatment:
(1) Intermittent catheterization: Intermittent catheterization is still the mainstream treatment for many patients with neurogenesis, including aseptic intermittent catheterization and clean intermittent catheterization. Clean intermittent catheterization is safe for patients with neurogenic bladder in the short and long term, and aseptic intermittent catheterization is more helpful to reduce urinary tract infection and bacteriuria. However, before intermittent catheterization, some basic bladder and urethra abnormalities, such as detrusor instability, low compliance, sphincter weakness, sensory loss and so on. , must be properly handled.
(2) Indwelling catheter: For patients with neurogenic bladder, short-term indwelling catheter in acute stage of primary nervous system disease is safe. Long-term indwelling catheter has many complications. Patients with long-term indwelling catheter or cystostomy should be followed up at least once a year, including urodynamic examination, renal function examination and total urinary imaging examination.
(3) Bladder colostomy: Bladder colostomy is suitable for male patients who need urethral catheterization for a long time, but when the duration of bladder colostomy exceeds 10 years or chronic intractable urinary tract infection occurs, bladder cancer screening is needed.