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Grand Rounds 01/21/15 @ BID-Needham: Dr. Marc Manganiello  

Management of Neurogenic Bladder in Spinal Cord Injury Patients
Last Updated: Sep 1, 2016 URL: http://bidmc.libguides.com/Manganiello Print Guide RSS Updates
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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

    dyoung3@bidmc.harvard.edu

     

        

      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

         

            

          WebEx Video of the Presentation

          Not available at this time.

              
             

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