Neurogenic Bladder

Neurogenic Bladder

1. Interventions

   • Drugs
     • Alpha Adrenergics Blockers
       • Terazosin
       • Relax Urethral Spincter
       • Doxazosin
     • Anticholinergics
       • oxybutynin
       • Tolterodine
       • Supress bladder Contraction (Spastic Bladder) "Remember Cholinergic Rest or Digest"
     • Antispasmodics
       • Baclofen
       • Decrease spasticity of Pelvic floor muscles (Spastic bladder)
   • Absorbent Products
   • Straight/ IndwellingCatheterizations
     • 3-4L of Fluid a day
   • Surgery:Sphinctectrotomy, Electrical stimulation, Urinary diversion
   • Kegel Excercises
   • Bladder Training
   • Increase Fluid Intake

2. Dx Test

   • uroflow rate
   • Chem 7 profile
   • Urine Cytology
   • Pad Test
   • Post-Void Residual Test
   • Voiding Diary

3. Spinal Cord Injuries

4. Signs & Symptoms

   • underactive Bladder
     • Oliguria
     • Cannot feel Bladder Full
     • Urinary Retention
   • Spastic Bladder

5. Complications

   • UTI
   • Kidney stone