Sir Ludwig Guttmann and the beginning of neurourology

Authors

  • Romina Vega Hermosillo Universidad Anáhuac México Norte, Estado de México, México.
  • FRIDA SOFIA TERAN AMAYA DRA
  • Patricia Castro Nuñez Servicio de Urología, UMAE, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, IMSS, Ciudad de México, México
  • Immer Avila Noyola Servicio de Urología, UMAE, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, IMSS, Ciudad de México, México
  • Jorge Moreno Palacios Servicio de Urología, UMAE, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, IMSS, Ciudad de México, México

DOI:

https://doi.org/10.31157/an.v27i3.360

Keywords:

spinal cord injury, sepsis, neurogenic bladder, intermittent urethral catheterization, history of medicine

Abstract

The twentieth century was affected by world wars, which led to an increase in the prevalence of patients with traumatic spinal cord injuries, who had a 95% mortality in the first two weeks after injury. Wich eighty percent were related to urinary tract infections and urosepsis. The main objective of this article is to present the contributions of Ludwig Guttmann, who believed in integral management of these patients and the effects in the lower urinary tract as a result of spinal cord injury. He implemented the technique of intermittent catheterization as treatment of urinary stasis and observed a significant decline of the relative risk of death due to urological etiology. Additionally he included physical therapy and exercise as pillars of the management in the early stages of the spinal cord injury. Which lead to the creation of the Paralympic Games.

 

References

1. Schultke E. Ludwig Guttmann: emerging concept of rehabilitation after spinal cord injury. J Hist Neurosci. 2001;10(3):300-7.
2. Frankel HL. The Sir Ludwig Guttmann lecture 2012: the contribution of Stoke Mandeville Hospital to spinal cord injuries. Spinal Cord. 2012;50(11):790-6.
3. Silver JR. The making of Ludwig Guttmann. J Med Biogr. 2013;21(4):229-38.
4. Henderson J. Professor Ludwig Guttmann (1899-1980): A New Approach to Spinal Injured Patients. In: Schultheiss D, editor. De Historia Urologia Europaeae. 19. Arnhem, Países Bajos: European Association of Urology; 2012. p. 267-72.
5. Guttmann L. The distribution of disturbances of sweat secretion after extirpation of certain sympathetic cervical ganglia in man. J Anat. 1940;74(Pt 4):537-49.
6. Silver JR. Ludwig Guttmann (1899-1980), Stoke Mandeville Hospital and the Paralympic Games. J Med Biogr. 2012;20(3):101-5.
7. Guttmann L, Whitteridge D. Effects of bladder distension on autonomic mechanisms after spinal cord injuries. Brain. 1947;70(Pt 4):361-404.
8. Silver JR. Management of the bladder in traumatic injuries of the spinal cord during the First World War and its implications for the current practice of urology. BJU Int. 2011;108(4):493-500.
9. Rossier AB, Fam BA. From intermittent catheterisation to catheter freedom via urodynamics: a tribute to Sir Ludwig Guttmann. Paraplegia. 1979;17(1):73-85.
10. Scruton J. Sir Ludwig Guttmann: creator of a world sports movement for the paralysed and other disabled. Paraplegia. 1979;17(1):52-5.
11. Guttmann L, Frankel H. The value of intermittent catheterisation in the early management of traumatic paraplegia and tetraplegia. Paraplegia. 1966;4(2):63-84.
12. Thomson-Walker J. The Treatment of the Bladder in Spinal Injuries in War: (Section of Urology). Proc R Soc Med. 1937;30(10):1233-40.
13. Lamin E, Newman DK. Clean intermittent catheterization revisited. Int Urol Nephrol. 2016;48(6):931-9.
14. Frankel HL, Coll JR, Charlifue SW, Whiteneck GG, Gardner BP, Jamous MA, et al. Long-term survival in spinal cord injury: a fifty year investigation. Spinal Cord. 1998;36(4):266-74.
15. Legg D. Paralympic Games: History and Legacy of a Global Movement. Phys Med Rehabil Clin N Am. 2018;29(2):417-25.

Downloads

Additional Files

Published

2022-06-14

How to Cite

Vega Hermosillo, R. ., TERAN AMAYA, F. S. ., Castro Nuñez, P., Avila Noyola , I., & Moreno Palacios , J. . (2022). Sir Ludwig Guttmann and the beginning of neurourology. Archivos De Neurociencias, 27(3). https://doi.org/10.31157/an.v27i3.360

Issue

Vol. 27 No. 3 (2022)

Section

Neuroscience History and Philosophy

License

Copyright (c) 2022 Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

September 2022-present © Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez. Open access articles under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. No commercial re-use is allowed.

January-September 2022 © The authors. Open access articles under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0) license, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. No commercial re-use is allowed.

January 2014-December 2021 © Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez. Open access articles under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) license, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.