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Published on: August 28, 2020
Neurogenic bladder in spinal cord injury
Gregory Samson1, Diana D Cardenas
1Department of Rehabilitation Medicine, Leonard M. Miller School of Medicine, P.O. Box 016960 (D-461), Miami, FL 33101, USA.
Summary
Improved management of neurogenic bladder dysfunction following spinal cord injury (SCI) has significantly reduced mortality. Effective bladder management ensures social continence and prevents urinary tract complications.
Area of Science:
- Urology
- Neurology
- Rehabilitation Medicine
Background:
- Historically, renal failure was a primary cause of death post-spinal cord injury (SCI).
- Advances in managing urologic dysfunction have led to a significant decrease in SCI-related mortality.
- Neurogenic bladder is a common complication of SCI, impacting patient quality of life.
Purpose of the Study:
- To provide an overview of neurogenic bladder dysfunction in SCI patients.
- To discuss current management strategies for neurogenic bladder.
- To highlight the goals of bladder management in SCI.
Main Methods:
- Literature review of neurogenic bladder dysfunction in SCI.
- Synthesis of current clinical practices and management options.
- Analysis of goals for bladder management in SCI patients.
Main Results:
- Mortality from SCI has decreased due to better urologic dysfunction management.
- Key goals include social continence, efficient low-pressure emptying, and prevention of complications.
- Effective management prevents overdistension, urinary tract infections, and upper/lower tract damage.
Conclusions:
- Improved management of neurogenic bladder is crucial for reducing SCI mortality.
- Comprehensive bladder management strategies are essential for SCI patient well-being and reintegration.
- Current options focus on achieving continence and protecting the urinary tract.
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