TY - JOUR AU - Vega Hermosillo, Romina AU - TERAN AMAYA, Frida Sofía AU - Castro Nuñez, Patricia AU - Avila Noyola , Immer AU - Moreno Palacios , Jorge PY - 2022/06/14 Y2 - 2024/03/29 TI - Sir Ludwig Guttmann and the beginning of neurourology JF - Archivos de Neurociencias JA - Arch Neurocien VL - 27 IS - 3 SE - Neuroscience History and Philosophy DO - 10.31157/an.v27i3.360 UR - https://archivosdeneurociencias.org/index.php/ADN/article/view/360 SP - AB - <p>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.</p><p>&nbsp;</p> ER -