Bladder functional problems

There are people in all age groups who suffer from irretention of urine. Thirty percent of women suffer from this in one form or another, i. e., unable to regulate the functioning of the urinary bladder. This problem may be solved by strengthening the wall of the urinary bladder, decreasing the inflammatory process in the urinary tract and strengthening the connective tissue. 

Cisapride can cause functional changes in the urinary tract because of increased pressure in the bladder, which may be a problem in individuals with hyperactive bladders. In individuals who had complete traumatic spinal cord injury, the increase in reflex bladder contractions was sufficient to reduce compliance markedly (23). 

This formula contains rehmannia, poria, tree peony, cinnamon, dioscorea, cornus, processed aconite, and water plantain root. It is probably the most frequently used formula for urinary problems. The herbs in the formula are anti-inflammatory, diuretic, astringent, and antibacterial. It improves the kidney, bladder, and nerve function and circulation to the urinary tract, reduces stagnation and heat, and strengthens reproductive organs such as the... 

ScHULMAN et al. (1999) described unstable bladder or urge syndrome in 52% of cases of nonneurogenic bladder-sphincter dysfunction followed by dysfunctional voiding in 25%. Himsl and Hurwitz (1991) state as well that the underlying problem in the great majority of children with functional disorders of the lower urinary tract is unstable bladder. 

Functional obstruction is the central problem in nonneurogenic bladder-sphincter dysfunction. Bladder distortion, VUR, upper urinary tract dilatation, UTI and reflux nephropathy are potential consequences. 

Next, a nephrostomy catheter is inserted and secured to the skin. The nephrostomy catheter should be equal to the diameter of the track to prevent leakage of urine. The nephrostomy tube may be left in place as long as is clinically indicated. If another procedure is necessary, the nephrostomy is left in place for access. If no procedure is planned and no problem has occurred, the nephrostomy tube is removed after 24-72 h. Prior to removal, a nephrostogram is obtained to confirm satisfactory position and functioning of the stent. If the ureter drains well, the nephrostomy is removed and covered with a dry, sterile dressing. The child is usually followed clinically, and when the ureteral stent is no longer needed, it is removed cystoscopically from the bladder. In rare cases, the stent may be removed from above after a nephrostomy track has been reestablished. 

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