Primary Care and SCI - Bladder: 2. Screening and Diagnosis of Bladder Complications

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Up to 85% of people with spinal cord injury (SCI) will have some form of a condition called 'neurogenic bladder' - a disruption of the ability to store and void urine.

Bladder dysfunction is among the leading causes of re-hospitalization after SCI.

Bladder control for people with SCI usually requires catheterization (either intermittent, indwelling, or condom) or reflex voiding, medication (e.g., anticholinergics or botox), or in some cases, surgery is done. The method(s) used depend on the patient’s anatomy, functional abilities, any medical co-morbidities, and social life. The best bladder management routine is typically determined by a physiatrist or urologist with the patient’s input. The goals of managing neurogenic bladder are continence, regular emptying, avoiding increased bladder pressure, and preventing complications.

Bladder function may change as patient’s age and medical circumstances change (i.e., they acquire secondary conditions). Improper bladder management can result in significant kidney damage, kidney stones, recurrent infections, or autonomic dysreflexia.

Patients with SCI are at a higher risk of UTI than people without SCI. Left untreated, UTIs can lead to sepsis, autonomic dysreflexia (life-threatening spikes in blood pressure), or other severe complications.

After viewing this session, you should be able to:
• Determine appropriate bladder and kidney screening intervals for patients with SCI

In addition to smoking, one of the largest bladder cancer risks in people with SCI is the use of an indwelling or suprapubic catheter (hint – it is a catheter that ‘lives’ inside of you)

Want to learn more about bladder management? See our articles!
Bladder Health Articles: https://community.scireproject.com/topics/browse-by-area/bladder-health/
Bladder Management: https://scireproject.com/evidence/bladder-management/

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*Timestamps*
00:00 Key Takeaways
00:58 Screening Cystoscopy
01:39 Complications
03:03 Risk Factors
03:37 Cystoscopy Indications
04:27 Urodynamic Study Set Up
05:35 Pharmacology


#spinalcordinjury #bladder #primarycare #neurogenic #incontinence
Category
Urology
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