[Safety of bladder irrigation and usefulness of BLADMAN for bladder training in the patients with spinal cord injury].

First, we used BLADMAN system for bladder irrigation on 47 outpatients with spinal cord injury. A syphon phenomenon of BLADMAN was applied to irrigation of the bladder. Irrigating liquid was a physiological saline solution and its volume was 500-1,000 ml. Bladder irrigation was done for 1 to 2 hours. As a result of bladder irrigation by this system, urine was clearer and the number of leucocyte in urine was decreased. There was no trouble and no side effects occurred while using this system. BLADMAN is safe and considered to be applicable to the patients with spinal cord injury. Secondly, we used BLADMAN for bladder training to the patients with spinal cord injury. Bladder training was done for 7 to 28 days on the patients with indwelling urethral catheter. The bladder function was compared before and after training. Bladder volume and compliance were significantly improved. There was no trouble while the patients used the BLADMAN system. We consider that the BLADMAN system is one of the best methods of bladder training for the patients with spinal cord injury.