| 제목 |
Cases of increased bladder function by temperature differed normal saline bladder irrigation |
| 소속 |
Kwangju Christian Hospital, Department of Rehabilitation Medicine1 |
| 저자 |
Na Na Lim1*, Dong Youl Lee1, Ji Hong Cheon1, Geun Su Lee1, Youn Kyung Cho1†, Sung Hoon Lee1, Hyun Kyung Lee1 |
Objectives
The use of indwelling urethral catheters, for prolonged period of time is discouraged because there are a various adverse effects including urinary tract infection, bladder stones, urethral injuries and decreased kidney function. Furthermore, discomfort and pain caused by indwelling urethral catheter can be the major concern of the patient. Conventional managements are known as pharmachologic treatment, surgical approaches, behavioral managements. The purpose of the study was to increase bladder function and eventually help patients to self void by non-invasive methods, who failed conventional approaches.
Methods
The patients' indwelling urethral catheter was changed to new ones and they had bladder irrigation with two packs of cold normal salines (500ml, 4℃) and two packs of warm salines (500ml, 20-30℃) alternatively twice a day. Foley catheters were not clamped during the irrigation being afraid of vesico-urethral reflux.
Results
Results are summerized in Table 1.
Conslusion
The unmyelinated C fibers exhibit spontaneous firing when they are activated by chemical or cold temperature irritation at the bladder wall and have been found to "wake up" and respond to distention and play an important role in stimulating uninhibited contractions. It is assumed that the temperature differed normal saline bladder irrigation gave patients a beneficial effect by stimulating unmyelinated C fibers. As the procedure is non-invasive, economical and simple trial for the patients who have voding difficulty, larger studies are needed to clarify the clinical role of this trial. |
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Results
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