Abstract
During the past 25 years enormous progress has been made in the management of the neuropathic bladder, largely as a result of the adoption of intermittent catheterisa-tion, together with improvements in catheter-related techniques, and the judicious use of antibacterial drugs and sphincter surgery.
A few quadriplegic women can be trained to do self-intermittent catheterisation, using a special technique. For the majority of these women, however, there is no practical alternative at present to indwelling catheters. Bladder spasms resulting from the mechanical stimulation of the catheter and/or repeated infections may be difficult to control, and illustrative cases demonstrating some problems encountered are presented.
There is an obvious need for an external collecting device for these women. The developments in the field of such devices are presented and evaluated.
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References
Brindley G S, Polkey C E, Rushton D N 1982 Sacral anterior root stimulators for bladder control in paraplegia. Paraplegia 20(6): 365–81.
Lindan R 1970 The Design and Preliminary Trials of an External Appliance for Women with Neurogenic Bladder Dysfunction. Proceedings of XVIII Veteran's Administration Spinal Cord Injury Conference pp. 101-104.
Lindan R, Neddleman S 1984 Design and testing of an external urinary collecting device for incontinent women. Proceedings of the International Continence Society. Fourteenth Annual Meeting, p. 82-84.
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Lindan, R., Leffler, E. & Bodner, D. Urological problems in the management of quadriplegic women. Spinal Cord 25, 381–385 (1987). https://doi.org/10.1038/sc.1987.67
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DOI: https://doi.org/10.1038/sc.1987.67
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Spinal Cord (1987)