• 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.
Talbot HS. PRIMARY CARE OF THE URINARY TRACT IN SPINAL CORD INJURY. JAMA. 1956;162(13):1203–1204. doi:10.1001/jama.1956.02970300003002
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