Abstract:
Context: In patients with neurogenic lower urinary tract dysfunction due to Spinal
Cord Injury (SCI), recurrent Urinary Tract Infections (UTI), is a frequently encountered
clinical problem. Often, conventional preventive measures are not successful.
Aims: To treat the patients of SCI suffering from recurrent UTI with classical
homoeopathy as add‑on to standard urologic care.
Materials and Methods: After exclusion of morphological abnormalities and initiation
of a standard regime for prophylaxis, all patients with a neurogenic lower urinary
tract dysfunction due to SCI, with more than three symptomatic UTI/year, were
offered additional homoeopathic care. Symptoms were fever, incontinence, increased
spasticity, decreased bladder capacity or pain/decreased general health combined
with significant bacteriuria. Descriptive statistics was used for analysis.
Results: Eight patients were followed up for a median period of 15 months. Five
patients remained free of UTI, whereas UTI frequency was reduced in three patients.
Conclusion: Our initial experience with homoeopathic prevention of UTI as add on
to standard urologic prophylactic measures is encouraging. For an evidence‑based
evaluation of this concept, prospective studies are required. Keys for the positive
outcome of this case series are co‑operation of well‑qualified partners, mutual respect
and the motivation to co‑operate closely.
