Treatment of neurogenic @entity1494 in XXXX by ultrasound-controlled bladder training.

@entity1 @entity15 @entity293 @entity1494
@entity1494 , the main cause of @entity293 in @entity15 ( @entity15 ), is efficiently treated by bladder training with ultrasound control of the residual urine. However, the beneficial effects of bladder training in the hospital are often lost within a short time when the @entity1 returns to his home. Reexamination at home of 97 @entity15 @entity1 with @entity293 showed that the group which claimed to continue bladder training at home had significantly less residual urine at home than the group which did not continue bladder training at home. The residual urine decreased from 210 ml on average to almost normal while the @entity1 did bladder training in the hospital, but the volume nearly doubled within a short time at home. Thus, more decentralized rehabilitation by family members, volunteer personnel or local nurses is necessary. Decentralized symptomatic therapy is the most efficient treatment of @entity15 at present. Family members. volunteers, and local nurses, however, need training. Without these improvements in decentralized rehabilitation the hospital treatment of @entity15 is of little benefit because urinary tract infection quickly recurs at home. For efficient bladder training the @entity1 needs feedback regarding the residual urine; this can be provided with minimum risk by ultrasound sonocystography. In those rare cases in which bladder training does not work, intermittent catheterization must be carried out by the @entity1 or their families, volunteer personnel or a local nurse. A continuous indwelling catheter should not be used. antibiotic treatment should be applied only on the basis of a precise bacteriological diagnosis.
