RESUMO
A paralytic ileus is a typical complication of ileocystoplasty of the bladder. In patients with a spinal cord injury, this risk is higher due to a preexisting neurogenic bowel dysfunction. We present the case of a paraplegic man who developed a massive paralytic ileus after ileocystoplasty and surgical revision. Conventional stimulation of bowel function was unsuccessful; only by an adjunctive homeopathic treatment was normalization of bowel function achieved. Adjunctive homeopathic therapy is a promising treatment option in patients with complex bowel dysfunction after abdominal surgery who do not adequately respond to conventional treatment.
Assuntos
Cistectomia/efeitos adversos , Delphinium/química , Íleo/transplante , Pseudo-Obstrução Intestinal/etiologia , Pseudo-Obstrução Intestinal/prevenção & controle , Extratos Vegetais/uso terapêutico , Traumatismos da Medula Espinal/complicações , Adulto , Homeopatia/métodos , Humanos , Masculino , Traumatismos da Medula Espinal/terapia , Resultado do TratamentoRESUMO
Recurrent urinary tract infections (UTI) in patients with spinal cord injury are a frequent clinical problem. Often, preventive measures are not successful. We present the case reports of five patients with recurrent UTI who received additional homeopathic treatment. Of these patients, three remained free of UTI, whereas UTI frequency was reduced in two patients. Our initial experience with homeopathic prevention of UTI is encouraging. For an evidence-based evaluation of this concept, prospective studies are required.