Bladder dysfunction is common following spinal cord injury, and up to 15% in cerevrovascular stroke.
Part of bladder rehabilitation is patient education such as: Proper techniques of intermittent self-catheterization (including timing and frequency).Effects of oral medications on bladder function. Use of facilitative bladder emptying techniques, such as the Credé and Valsalva maneuvers. Efficient use of assistive devices employed in bladder care. Possible long-term co morbidities and complications. Management of some emergencies like absence of urine output secondary to a kinked catheter. Prevention of potential complications, such as urinary tract infection.
At Dar EL Mona, EMG biofeedback, interferential current, pelvic floor muscles strengthening and special programs are used according to the level of injury to reach the degree which is acceptable to the patient to increase his independency level.