Speaker: Date: Topic
Marc Manganiello, MD
Jan 21, 2015
Management of Neurogenic Bladder in Spinal Cord Injury Patients
Responsibility for Content
The PowerPoint presentation, Take-Away points, Pre-and Post-Test questions, and article links were sent by Medical Library Services and the CME Committee.
Diane E. Young, Information Specialist
Take-Away Points of the Presentation
- Urinary function may be divided into two phases: filling/storage and emptying/voiding. Bladder and urethral function contribute to each phase.
- Supra-pontine injuries generally result in bladder overactivity, supra-sacral lesions result in bladder overactivity and impaired urethral sphincter relaxation, and lower motor neuron lesions result in atonic bladders.
- Long term followup is required to prevent renal dysfunction. Goal is to keep bladder pressures low.
- Management options include intermittent vs. indwelling catheterization, medications, or surgery.
Pre- and Post-Test Questions
-Why do patients with spinal cord injuries require life-long urologic followup?
a. they should provide periodic urine samples to screen for bacteriuria
b. they may develop renal deterioration if not managed appropriately
c. is not necessary
d. a level 4 patient encounter may be billed
-What are the goals of management for the neurogenic bladder?
a. lower bladder pressure
b. decrease bladder compliance
-What is the typical pattern of bladder dysfunction in a patient who has suffered from a stroke?
a. atonic bladder
b. detrusor sphincter dyssynergia
c. detrusor overactivity
Links to Abstracts of Articles Cited (contact Diane Young for full-text articles at email@example.com)
PDF of the PowerPoint Presentation
WebEx Video of the Presentation
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