Neurosurgery and Neurology of Kazakhstan

3-4

Authors: Аkshulakov S.К., Кisamedenov N.G.

The purpose of the study. Improving results of treatment of neurogenic bladder dysfunction. Methods. In the period from December 2013 to July 2014 in a receiving-diagnostic department of JSC “National Center for Neurosurgery”, Astana, 23 patients who applied with clinic neurogenic bladder dysfunction of different variations were examined. Depending on the applied methods of treatment of neurogenic bladder dysfunction, patients were divided into two groups - the main and control. The main group consisted of patients who, after surgery routinely in content: Implantation of permanent sacral nerurostimulator, followed by neuromodulation. The control group consisted of patients who received only traditional conservative therapy. The criteria for evaluating treatment effectiveness is enhancement of bladder parameters registered with uroflowmetry and urination diary, by the results of the quality of life questionnaire SF-36. Results. Main group patients’ (n = 10) results of treatment showed high efficiency. There was noted that 79% of patients with hypotension and atony of bladder reached positive results of treatment in 6 months. Unaided urination recurred to the 59% of patients with impaired bladder emptying. Positive results in the control group (n = 13) treated with conservative therapy was observed in 2% of all patients. Conclusion. Sacral nerve stimulation is a highly effective treatment for patients with severe forms of infraction of the urination act. Neuromodulation of sacral nerves is an alternative, and frequently the only possible method for the treatment of patients with neurogenic bladder dysfunction. Keywords. neurogenic bladder dysfunction, implantation of permanent sacral nerurostimulator, neuromodulation.

11,12,13,14,15.

Authors: G.SH. Мambetova, K.B. Nurgaliyev, ZH.Е. Sagatbekova, А.Т. Imangozhayeva, Е.V. Кisayev

There is an overview picture of the effectiveness of methods of gradual restoration of motor skills in complex physical therapy provided as the most important step in the recovery and motor function in spinal patients. Key words: spinal injury, rehabilitation, gradual recovery of motor skills, ETP.