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Published on: January 16, 2019
[Therapy progress of atonic bladder after spinal cord injury]
1Department of Orthopaedics, Changzheng Hospital of Second Military Medical University, Shanghai 200003, P R China. zhonggb2004@yahoo.com.cn
Objective:
To study the advance in the treatment of atonic bladder after spinal cord injury.
Methods:
The recent literature concerned was extensively reviewed and some methods of therapy for atonic bladder were introduced.
Results:
No effective method of therapy was found for atonic bladder after spinal cord injury. When compared with clean intermittent catheterization, pharmacologic therapy, compressive micturition and detrusor function reconstruction, the establishment of an artificial bladder reflex arc may have a potential of controllable micturition.
Conclusion:
To establish an artificial bladder reflex may provide an update of current therapeutic concepts for atonic bladder after spinal cord injury.
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The Micturition Reflex
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
