Management of neurogenic bladder
Schwartz, J.; Iselin, C.
Revue Medicale Suisse 5(228): 2453-2456
2009
ISSN/ISBN: 1660-9379 PMID: 20088120 Document Number: 18212
The neurogenic bladder is a complex entity whose clinical presentation ranges between a micturition and continence dysfunction. A specialized work-up which entails a well oriented patient history, a neuro-urologic pelvic examination so as a video-urodynamic study allows to caracterize functionally neurogenic bladders. This enables to diagnose a failure to store and/or to empty. Whether medical or surgical, management is further coordinated on a multidisciplinary basis by the urologist who is in charge of bringing together medical and paramedical caregivers. The patient may also benefit of a multidisciplinary consult. Regular long-term follow-up is essential, in order to ensure optimal equilibrium between storage and emptying bladder function, and to prevent significant renal and infectious complications.
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