neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2018-20-4-87-94neurosurgery-660Research ArticleВ ПОМОЩЬ ПРАКТИЧЕСКОМУ ВРАЧУFOR PRACTITIONERSНа стыке дисциплин: нейрогенный мочевой пузырь у пациентов с травматической болезнью спинного мозгаAt the junction of disciplines: neurogenic bladder in patients with traumatic spinal cord injuryhttps://orcid.org/0000-0003-1492-934XКоршуноваЕ. С.KorshunovaE. S.

Екатерина Сергеевна Коршунова

125284 Москва, 2-й Боткинский пр-д, 3; 125367 Москва, Волоколамское шос., 80;

3 2nd Botkinsky Proezd, Moscow 125284; 

80 Volokolamskoe Shosse, Moscow 125367

e_korshunova@mail.ruhttps://orcid.org/0000-0001-9355-2872КоршуновМ. Н.KorshunovM. N.https://orcid.org/0000-0002-3797-7160ДаренковС. П.DarenkovS. P.ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России; ФГБНУ «Научный центр неврологии»РоссияNational Medical Research Radiological Center, Ministry of Health of Russia; Research Center of NeurologyRussian FederationФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФРоссияCentral State Medical Academy, Administration of the President of the Russian FederationRussian Federation2018130120192048794Copyright © Коршунова Е.С., Коршунов М.Н., Даренков С.П., 20192019Коршунова Е.С., Коршунов М.Н., Даренков С.П.Korshunova E.S., Korshunov M.N., Darenkov S.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/660

Приведены рекомендации по диагностике нарушений мочеиспускания, разработанные Международным комитетом по удержанию мочи (International Continence Society) и Европейской ассоциацией урологов (European Association of Urology). Проанализированы данные об эффективности медикаментозного лечения и катетеризации у пациентов с травмами позвоночника и спинного мозга и нейрогенным мочевым пузырем, а также о противопоказаниях к катетеризации и о частоте осложнений. Периодическая катетеризация, по данным исследований, представляется наиболее предпочтительным методом лечения. Описаны различные виды уретральных катетеров. Перечислены 3 методики периодической катетеризации, а также основные принципы ее проведения по рекомендациям Европейской ассоциации урологов. Подчеркнуто, что только взаимодействие врачей в составе междисциплинарной команды создает условия для оптимального контроля над нейрогенным мочевым пузырем, что способно приблизить продолжительность жизни пациентов с травматической болезнью спинного мозга к показателям в общей популяции.

The recommendations on the diagnosis of urinary disorders (developed by the International Continence Society and the European Association of Urology) are presented. The effectiveness of drug treatment and catheterization in patients with traumatic spinal cord injury and neurogenic bladder, as well as contraindications to catheterization and the frequency of complications were analyzed. Intermittent catheterization, by the trials’ data, it seems the preferred method of treatment. Different types of urethral catheters are described. There are 3 methods of intermittent catheterization, as well as the basic principles of its implementation on the recommendations of the European Association of Urology. Emphasized that only the cooperation of specialists in the interdisciplinary team creates the conditions for the optimal management of neurogenic bladder that is able to bring the life expectancy of people with traumatic disease of the spinal cord to the indicators in the general population.

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The authors declare that there are no conflicts of interest present.