Sir Ludwig Guttmann and the beginning of neurourology


  • Romina Vega Hermosillo Universidad Anáhuac México Norte, Estado de México, México.
  • 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



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


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.



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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).



Neuroscience History and Philosophy