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Is stem cell therapy useful for neurogenic bladder?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At July 13, 2016
Reviewed AtJuly 14, 2023

Patient's Query

Hi doctor,

My daughter, who is 22 years old, has neurogenic bladder. Her height is 4'10" and weight is 53 kg. She is suffering from voiding dysfunction and constipation. She underwent surgery for spinal lipoma when she was 45 days old. Her bladder trabeculated and grade 3 reflux. Her right kidney is 8.83 x 4.89 cm and left is 9.40 x 4.08 cm. She had been on Nitrofurantoin 100 mg and Tolterodine tartrate 2mg per day (bed time) for six years and discontinued three months back. Kindly advice on appropriate treatment option and prognosis. I would like to know if stem cell therapy is useful. I have attached her reports for your reference.

Hi.

Welcome to icliniq.com. We are here to help you. Yes, your daughter needs treatment. I need to know how she is doing without medicines. How many times in the night does she pass urine?

Patient's Query

Thank you doctor,

She voids twice in the night at around 10.30 PM and 5 AM. In the meantime, she does not wake up for urination. Her urologist advised to discontinue prophylactic use of Nitrofurantoin so that she can go for antibiotic when she requires it.

Hi,

Welcome back to icliniq.com. After studying her issues, my advice would be to give her Tolterodine as suggested by your doctor. Continuing Nitrofurantoin would not be beneficial. Tolterodine can greatly help her during the process. If you want to try stem cell therapy, you can consider it, although the results are variable and not consistently positive. However, when all other options have been exhausted, stem cell therapy can be considered.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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