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Managing Recurrent Urinary Tract Infections After Spinal Cord Injury: Practical Approaches and Emerging Concepts

Ana Valeria Aguirre-Guemez1, Suzanne L Groah2

  • 1MedStar National Rehabilitation Hospital, Washington, DC, USA; Department of Rehabilitation Medicine, Georgetown University Medical Center, Washington, DC, USA; MedStar Health Research Institute, Hyattsville, MD, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 20, 2024
PubMed

Keywords:
Indwelling/intermittent catheterizationNeurogenic lower urinary tract dysfunctionRecurrent urinary tract infectionSpinal cord injuries

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The Micturition Reflex01:26

The Micturition Reflex

Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
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...
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