J Korean Acad Rehabil Med.  2003 Jun;27(3):344-348.

Stretching Therapy of Neurogenic Bladder in Patients with Spinal Cord Injury

• Shin JC
• Park CI
• Kim YW
• Park SY
• Rha DW
• Kim JE

Abstract

OBJECTIVE
To evaluate the effect of stretching therapy of neurogenic bladder in spinal cord injured patients. METHOD: Twelve spinal cord injured patients who had neurogeic bladder manifested with urinary incontinence resistant to oral and intravesical anticholinergic instillation treatment were selected. Oxybutynin solution was instillated via foley catheter and the catheter was clamped until incontinence occur. This was performed twice a day for 7 days. The urodynamic studies were compared before and after therapy. Total volume of daily incontinence and total volume of daily fluid intake were also monitored. RESULTS: After stretching therapy, median maximal bladder capacity increased from 190.08 to 457.17 ml (p<0.01), mean bladder compliance increased from 8.46 to 18.85 ml/cmH2O (p<0.01), mean reflex volume increased from 148.75 to 252.17 ml (p<0.05), mean maximal detrusor pressure decreased from 52.17 to 28.29 cmH2O (p<0.01), mean clinical maximal capacity increased from 277.50 to 537.50 ml (p<0.01), and mean daily incontinent volume decreased from 508.33 ml to 20.83 ml (p<0.01). No significant correlation was found between the duration since onset of injury and the urodynamic finding. CONCLUSION: This study proved that stretching therapy of bladder was an effective method in spinal cord injured patients who had neurogenic bladder with uncontrolled incontinence with conventional therapy.

Keyword

Spinal cord injury; Neurogenic baldder; Intravesical instillation; Stretching therapy

MeSH Terms

Administration, Intravesical
Catheters
Compliance
Humans
Reflex
Spinal Cord Injuries*
Spinal Cord*
Urinary Bladder
Urinary Bladder, Neurogenic*
Urinary Incontinence
Urodynamics