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Neural Rerouting in Patients with Spinal Cord Injury
Published in Jacques Corcos, Gilles Karsenty, Thomas Kessler, David Ginsberg, Essentials of the Adult Neurogenic Bladder, 2020
Chuan-Guo Xiao, Kenneth I. Glassberg
Neurogenic bladder can be caused by a spinal cord injury (SCI), diseases such as myelomeningocele, and radical surgery of pelvic organs. Clean intermittent catheterization (CIC), antimuscarinics, and other pharmacologic agents have improved the daily management of these bladders often with improving compliance and sometimes salvaging a threatened upper tract but without having an effect on volitional voiding.
Anorectal malformation: Definitive repair and surgical protocol
Published in Alejandra Vilanova-Sánchez, Marc A. Levitt, Pediatric Colorectal and Pelvic Reconstructive Surgery, 2020
Belinda Dickie, Taiwo Lawal, Paola Midrio
Urologic evaluation through USS of the kidneys, ureters, and bladder is done at 3 months postoperatively. A voiding cystourethrogram (VCUG) is indicated if there is hydronephrosis, reflux, or urinary tract infection. The urinary tract is evaluated yearly and multidisciplinary management with a urologist is recommended. Urodynamic study is required to evaluate for the presence of neurogenic bladder.
Neurogenic bladder
Published in Brice Antao, S Irish Michael, Anthony Lander, S Rothenberg MD Steven, Succeeding in Paediatric Surgery Examinations, 2017
Urinary incontinence in patients with a neurogenic bladder is often multifactorial. A 1994 survey in the United Kingdom, found that about 29% had some form of diversion and 62% of those who were not operated upon were incontinent of urine and half of these patients had faecal incontinence. The study suggested that non-surgical measures such as CIC and anticholinergics could make only one-third of patients reliably dry. It is therefore important that we address the concept of dryness to these families by discussing the optimum timing of surgery to achieve continence, the chances of continence following surgery, methods to increase the outlet resistance and also ways and means of doing bladder augmentation.
Effectiveness and safety of sacral neuromodulation for neurogenic bladder
Published in Neurological Research, 2023
ZengGang Wei, Yong Zhang, JianPing Hou
The pathogenesis of neurogenic bladder is complex, with various etiologies, mainly affecting the bladder’s urine storage and voiding functions.In this paper, by classifying, summarizing and counting the causes of 291 patients involved in 11 studies included in the study, the most common cause of neurogenic bladder was spinal cord injury (SCI) (n = 96, 32.99%) and multiple sclerosis (n = 88, 30.24%), followed by spina bifida (n = 33, 11.34%).Most of these patients recovered well after receiving sacral neuromodulation therapy.For other causes of neurogenic bladder, such as: myelitis/encephalitis, brain injury/paralysis, Parkinson’s, peripheral neuropathy, myelodysplasia, tumor, stroke, etc., these patients also benefited more from it.See Table 2 for details.
Factors influencing decisions about neurogenic bladder and bowel surgeries among veterans and civilians with spinal cord injury
Published in The Journal of Spinal Cord Medicine, 2023
Denise G. Tate, Edward J. Rohn, Martin Forchheimer, Suzanne Walsh, Lisa DiPonio, Gianna M. Rodriguez, Anne P. Cameron
Living with spinal cord injury (SCI) requires extensive decision-making (DM) in order to manage the complexities of care. DM is defined as a process of selecting a course of action from a set of alternatives to manage complications associated with SCI.1–3 Common complications associated with neurogenic bladder and bowel (NBB) include urinary tract infections (UTIs), incontinence, renal function deterioration, and bladder and renal stones; constipation, and hemorrhoids.4 Surgeries are one way of addressing a number of NBB complications for which other treatments have failed, yet the decision to move forward with a surgical intervention is often complex and requires consideration of numerous factors. NBB dysfunction remains one of the most life changing and stigmatizing consequences of SCI, affecting the whole person across multiple domains of daily life.5–7 The effects of NBB management decisions on quality of life (QOL) highlight the importance of understanding the process of DM, its influencing factors and potential outcomes.
Bladder management practices in spinal cord injury patients: A single center experience from a developing country
Published in The Journal of Spinal Cord Medicine, 2019
Sahibzada Nasir Mansoor, Farooq Azam Rathore
Most of the SCI patients develop a neurogenic bladder.2 The main aim of managing a neurogenic bladder in spinal cord injury is to maintain continence, avoiding or minimizing urinary infections and to avoid renal damage by maintaining a low bladder pressure.3 An areflexic bladder responds well to the intermittent catheterization. Urodynamic studies are recommended to determine the type of neurogenic bladder, its function and capacity. Different bladder management options available include clean intermittent catheterization (CIC), supra public catheterization, indwelling catheterization, use of external condom catheter for men, timed voiding, Creeds manoeuvre, bladder augmentation cystoplasty, urinary diversion and drug treatment.4 Patients choose different bladder management depending upon ease of use, comfort, cost, availability and complications.5 Selection of a bladder management option may be challenging for the treating physician due to the patient’s physical and/or psychosocial issues; two patients with the same level of SCI may end up with different bladder management options.