Patel Hospital, Civil Lines, Jalandhar City, (Pb) India.
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NEUROGENIC BLADDER – (For spinal injury patients)

NEUROGENIC BLADDER

Neurogenic bladder is a term applied to urinary bladder malfunction due to neurologic dysfunction emanating from internal or external trauma, disease, or injury .

SYMPTOMS OF NEUROGENIC BLADDER

Symptoms of neurogenic bladder range from detrusor underactivity to overactivity, depending on the site of neurologic insult. The urinary sphincter also may be affected, resulting in sphincter underactivity or overactivity and loss of sphincter coordination with bladder function.

TREATMENT:

MEDICAL MANAGEMENT

Intermittent Catheterization

  • Intermittent catheterization or self-catheterization is a mode of draining the bladder at timed intervals, as opposed to continuous bladder drainage

SURGICAL CARE

Surgical care involves procedures that increase urethral outlet resistance, like:

  • Periurethral bulking therapy
  • Sling procedures

Surgical care for also involves procedures that improve bladder compliance or bladder capacity, which include the following:

  • Botulinum toxin injections

Bladder augmentation

Bladder augmentation is a surgical alteration of the urinary bladder. It involves removing strips of tissue from the intestinal tract and adding this to the tissue of the bladder. This has two intended results: increased bladder volume; and a reduced percentage of the bladder involved in contraction, that in turn results in lower internal pressures in the bladder during urination.

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