Neurogenic bladder after spinal cord injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Meet the international standard for neurological classification of spinal cord injury;2.Patients with a spinal cord injury grade B, C or D from the American Spinal Cord Injury Association (ASIA);3.Patients with a clear history of spinal trauma or surgery were diagnosed as spinal cord injury by imaging examination, and their vital signs were stable, their condition was stable, and they had passed the stage of spinal shock;4.The injured segments were thoracic and lumbar spinal cord injuries;5.The patient was clinically diagnosed with neurogenic bladder and the indwelling catheter was removed;6.Patients with spastic neurogenic bladder diagnosed by urodynamics;7.Patients did not receive rTMS related treatment before enrollment;8.Voluntary participation in the study, patients and their families informed and signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients with consciousness disorder, cognitive impairment, intracranial metal and severe skull injury; 2. Cardiac pacemaker implants; 3. Patients with diabetes and tumor; 4. Patients with urinary tract infection or other serious infections; 5. Patients who do not meet the conditions for intermittent catheterization; 6. Other factors lead to NB patients; 7. Patients with kidney diseases such as severe hydronephrosis and kidney stones; 8. History of taking diuretics and dehydrating agents; 9. People with coagulation disorders; 10. Injury of cauda equina or conus nerve, obstruction of urethral outlet, etc., resulting in abnormal urination; 11. History of vesicostomy or anterior urethral sphincterotomy; 12. Patients with urinary disorders, prostate diseases and urinary tract malformations before spinal cord injury; 13. Persons with mental illness; 14. Patients with poor treatment compliance and inability to follow medical instructions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Urination diary; | — |
Secondary
| Measure | Time frame |
|---|---|
| Maximum bladder capacity;Residual urine output;Quality of Life; | — |
Countries
China
Contacts
Hebei Provincial People's Hospital