How to manage urination and defecation with high paraplegia

Jul 12, 2024 Source: Cainiu Health
Disease description:

Due to certain reasons, I require a high spinal cord transection. I would like to ask the doctor, how does a person with a high spinal cord transection urinate and defecate?

Doctor's answer (1)
Dr. Xu Shuai
High paraplegia usually affects the thoracic or cervical regions of the spinal cord, resulting in loss of motor and sensory function in the lower limbs, as well as impaired control of voluntary urination and defecation. Bowel and bladder management for individuals with high paraplegia requires specific methods and techniques: 1. Indwelling urinary catheter: For urination, a urinary catheter can be used to assist with emptying the bladder, promoting smooth excretion of urine. 2. Use of disposable diapers: In cases of fecal or urinary incontinence, wearing and promptly changing disposable diapers is necessary to prevent local skin damage. 3. Enema: For patients experiencing difficulty with bowel movements, enemas can be an effective solution and may be performed under a physician's guidance. Patients should also pay attention to dietary adjustments, massage therapy, and rehabilitation training to comprehensively improve bowel and bladder dysfunction.