Neurogenic Bladder

BUN and creatinine levels are taken to asses extent of damage. Radiographic studies may be ordered to reveal any structural changes

Parasympatho-mimetic medications, such as bethanechol, are used to improve the bladder's contractility and antibiotics are given to treat and/or prevent infections.

Neurogenic BladderPrognosis: Although complete recovery is uncommon, with pt involvement and use of incontinence pads the pt will be able to lead a relatively normal lifestyle. Quality of life may also be increased with the use of self-catheterization if pt is physically able and willing to learn technique.

Etiology/ Pathophysiology

Manifestations/Assessment findings

Diagnostic tests

Med/Surg management & nutrition

Drug therapy

Larry Fowler

Symptoms depend on the cause and location of injury though the most common is urinary incontinence. Subjective data includes excessive sweating, flushing and nausea before reflex incontinence or infrequent voiding. Objective data involves assesing the urinary status of pt at risk for neurogenic bladder; including pt's with congenital anomalies, neurologic disease or spinal cord injury.

A condition in which there is a loss of bladder control due to a brain, nerve or spinal cord injury. The injury can happen from physical trauma or an illness such as cerebral palsy or alcoholic neuropathy

There are 2 types: Spastic, above voiding reflex arc, is a loss of the urge to void and UI, while flaccid, below voiding reflex arc is infrequent voiding with incomplete emptying

http://www.aqavic.org.au/sci_facts/neurogenic_bladder.html

http://en.wikipedia.org/wiki/File:Spina-bifida.jpg

http://radiopaedia.org/articles/neurogenic_bladder

Assess urinary function early in treatment course, intermittent self- catheterization or a urinary collection system may also be utilized. Sacral Nerve Modulation, an experimental treatment in which electrodes are used to modulate nerve impulses, may be used to decrease or increase urinary frequency, urgency, and incontinence

http://www.columbianeurosurgery.org/specialties/pain/treatment/neuromodulation/

http://www.mdguidelines.com/neurogenic-bladder/prognosis

http://www.cartoonstock.com/directory/b/bladder_infection.asp