M.S. Jus

Usefulness of classical homoeopathy for the prevention of urinary tract infections in patients with neurogenic bladder dysfunction: A case series

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.

Homöopathische Prophylaxe von Harnweginfekten bei Patienten mit neurogener Blasenfunktionsstörung

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.

Usefulness of classical homeopathy for the prophylaxis of recurrent urinary tract infections in individuals with chronic neurogenic lower urinary tract dysfunction

Context/Objective: to investigate the usefulness of classical homeopathy for the prevention of recurrent urinary tract infections (UTI) in patients with spinal cord injury (SCI). Design: prospective study. Setting: rehabilitation center in Switzerland. Participants: patients with chronic SCI and ≥3 UTI/year. Interventions: Participants were treated either with a standardized prophylaxis alone or in combination with homeopathy. Outcome measures: The number of UTI, general and specific quality of life (QoL), and satisfaction with homeopathic treatment were assessed prospectively for one year. Results: Ten patients were in the control group; 25 patients received adjunctive homeopathic treatment. The median number of self-reported UTI in the homeopathy group decreased significantly, whereas it remained unchanged in the control group. The domain incontinence impact of the KHQ improved significantly (P = 0.035), whereas the general QoL did not change. The satisfaction with homeopathic care was high. Conclusions: Adjunctive homeopathic treatment lead to a significant decrease of UTI in SCI patients. Therefore, classical homeopathy could be considered in SCI patients with recurrent UTI. Trial registration: ClinicalTrials.gov. (NCT01477502).

Paralytischer Ileus nach Ileumaugmentation beim querschnittgelähmten Patienten@@@Paralytic ileus after ileocystoplasty in a patient with spinal cord injury: Kann Homöopathie helfen?@@@Is homeopathy helpful?

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.ZusammenfassungEin paralytischer Ileus ist eine typische Komplikation einer Ileumaugmentation der Harnblase. Bei Patienten mit einer Querschnittlähmung ist dieses Risiko wegen einer präexistenten neurogenen Darmfunktionsstörung erhöht. Wir präsentieren den Fall eines paraplegischen Mannes, der nach Ileumaugmentation und Revision einen massiven paralytischen Ileus entwickelte. Konventionelle darmanregende Maßnahmen hatten keine richtungsweisende Veränderung erbracht; erst durch eine additive homöopathische Behandlung konnte der Ileus durchbrochen und die Darmfunktion normalisiert werden. Eine additive homöopathische Therapie kann bei komplexen postoperativen Darmfunktionsstörungen, die auf konventionelle Behandlung nicht ausreichend ansprechen, eine Erfolg versprechende Therapieoption sein.AbstractA 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.

Paralytischer Ileus nach Ileumaugmentation beim querschnittgelähmten PatientenParalytic ileus after ileocystoplasty in a patient with spinal cord injury

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.ZusammenfassungEin paralytischer Ileus ist eine typische Komplikation einer Ileumaugmentation der Harnblase. Bei Patienten mit einer Querschnittlähmung ist dieses Risiko wegen einer präexistenten neurogenen Darmfunktionsstörung erhöht. Wir präsentieren den Fall eines paraplegischen Mannes, der nach Ileumaugmentation und Revision einen massiven paralytischen Ileus entwickelte. Konventionelle darmanregende Maßnahmen hatten keine richtungsweisende Veränderung erbracht; erst durch eine additive homöopathische Behandlung konnte der Ileus durchbrochen und die Darmfunktion normalisiert werden. Eine additive homöopathische Therapie kann bei komplexen postoperativen Darmfunktionsstörungen, die auf konventionelle Behandlung nicht ausreichend ansprechen, eine Erfolg versprechende Therapieoption sein.AbstractA 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.

Paralytischer Ileus nach Ileumaugmentation beim querschnittgelähmten Patienten

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.ZusammenfassungEin paralytischer Ileus ist eine typische Komplikation einer Ileumaugmentation der Harnblase. Bei Patienten mit einer Querschnittlähmung ist dieses Risiko wegen einer präexistenten neurogenen Darmfunktionsstörung erhöht. Wir präsentieren den Fall eines paraplegischen Mannes, der nach Ileumaugmentation und Revision einen massiven paralytischen Ileus entwickelte. Konventionelle darmanregende Maßnahmen hatten keine richtungsweisende Veränderung erbracht; erst durch eine additive homöopathische Behandlung konnte der Ileus durchbrochen und die Darmfunktion normalisiert werden. Eine additive homöopathische Therapie kann bei komplexen postoperativen Darmfunktionsstörungen, die auf konventionelle Behandlung nicht ausreichend ansprechen, eine Erfolg versprechende Therapieoption sein.AbstractA 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.

[Paralytic ileus after ileocystoplasty in a patient with spinal cord injury: is homeopathy helpful?].

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.ZusammenfassungEin paralytischer Ileus ist eine typische Komplikation einer Ileumaugmentation der Harnblase. Bei Patienten mit einer Querschnittlähmung ist dieses Risiko wegen einer präexistenten neurogenen Darmfunktionsstörung erhöht. Wir präsentieren den Fall eines paraplegischen Mannes, der nach Ileumaugmentation und Revision einen massiven paralytischen Ileus entwickelte. Konventionelle darmanregende Maßnahmen hatten keine richtungsweisende Veränderung erbracht; erst durch eine additive homöopathische Behandlung konnte der Ileus durchbrochen und die Darmfunktion normalisiert werden. Eine additive homöopathische Therapie kann bei komplexen postoperativen Darmfunktionsstörungen, die auf konventionelle Behandlung nicht ausreichend ansprechen, eine Erfolg versprechende Therapieoption sein.AbstractA 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.

Homeopathic prophylaxis of urinary tract infections in patients with neurogenic bladder dysfunction

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.

Homöopathische Prophylaxe von Harnweginfekten bei Patienten mit neurogener Blasenfunktionsstörung@@@Homeopathic prophylaxis of urinary tract infections in patients with neurogenic bladder dysfunction

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.