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Article
November 24, 1956

PRIMARY CARE OF THE URINARY TRACT IN SPINAL CORD INJURY

Author Affiliations

Boston

Chief of Paraplegia and Urology, Veterans Administration Hospital (West Roxbury), Boston.

JAMA. 1956;162(13):1203-1204. doi:10.1001/jama.1956.02970300003002
Abstract

• The structural changes that follow retention of urine in a paralyzed bladder must be prevented by adequate drainage from the beginning. With a catheter in place, the bladder regains its ability to fill and empty by reflex action with a certain regularity. It can be conditioned by the method of tidal drainage within a period of 6 to 12 weeks. Mean while a program of high fluid intake, acidulation of the urine, and muscular exercise is carried out to prevent lithiasis. The catheter can then be removed, and the observance of a certain program of fluid intake and other habits enable many patients to maintain an adequate urinary capacity, to empty the bladder completely, and to get along without wearing any apparatus.

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