title: [Closed drainage of the urinary bladder. Method and results in the rehabilitation of the infected, contracted bladder in stroke patients].
abstract: Catheterism of the urinary bladder in the primary therapy after stroke is often the initial condition for the development of an infected contracted bladder. The patient is bearing his catheter for life because there is a disproportion of production of urine (greater than 1500 ml) and capacity of the urinary bladder (less than 100 ml). Infection and restriction of movement hinder his discharge from hospital. There are five conditions for a treatment of contracted bladder using a closed drainage of the bladder: 1. functional training of the capacity, 2. reduction of reinfection and antibiotic therapy, 3. training of sensibility, 4. use of day-and-night-rhythm, 5. gymnastics for pelvic floor. The therapeutic result--200 ml capacity of urinary bladder, control of infection and voluntary miction--can be reached after 4-6 weeks, if patient, nursing staff and physician are cooperative. The experiences of 8 cases demonstrate that a contracted bladder needs not be a final state, but can be rehabilitated.
mesh_terms: D000368:Aged; D001437:Bacteriuria / Q000534:rehabilitation; D002408:Catheters, Indwelling; D002561:Cerebrovascular Disorders / Q000150:complications*; D003251:Constriction, Pathologic; D003556:Cystitis / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D001744:Urinary Bladder Calculi / Q000534:rehabilitation; D014546:Urinary Catheterization / Q000379:methods*
vernacular_title: Geschlossene Harnblasen-Drainage. Methodik und Ergebnisse in der Rehabilitation der infizierten Schrumpfblase beim Apoplektiker.