Use of homeopathy for prophylaxis of urinary tract infections in patients with neurogenic bladder dysfunction

Abstract

Background: Patients with neurogenic bladder dysfunction are prone to various urologic disorders which sometimes cannot be appropriately treated. Especially recurrent urinary tract infections (UTI) in patients with spinal cord injury are a frequent clinical problem. Often, conventional preventive measures are not successful. We present our initial results of collaboration between homeopaths and urologists in these patients. Materials and Methods: after exclusion of morphologic abnormalities and initiation of a standard regime for prophylaxis, all patients with a neurogenic lower urinary tract dysfunction (NLUTD) due to spinal cord injury (SCI) with more than 3 symptomatic UTI/year were offered additional homeopathic care (classical homeopathy with an individualized approach). UTI symptoms were fever, incontinence, increased spasticity, decreased bladder capacity or pain/decreased general health combined with significant bacteriuria. Results: Five of seven patients opted for homeopathic treatment. The bacterial strains detected in urinalysis were E. coli, proteus mirabilis and Klebsiella pneumonia, respectively. Morphologic and functional reasons for recurrent UTI were excluded by sonography, cystoscopy and urodynamics. After treatment, with a median follow-up of 15 months, 3 of these patients remained free of UTI, whereas UTI frequency was reduced in the other 2 patients. In three patients, standard prophylactic treatment could be reduced. No side effects were encountered. Conclusion: Our initial experience with homeopathic prevention of UTI is encouraging. Keys for a fruitful cooperation are well-qualified partners, mutual respect and the motivation to cooperate closely. For an evidence-based evaluation of this concept, prospective studies are required.