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Neurogenic Bladder Issues
for People Who Have SCI

People who have Spinal Cord Injury (SCI) often need to perform intermittent catheterization or take other medical steps to help manage their bladder.  This could include behavior techniques, physiotherapy, transurethral and suprapubic catheters as well as appliances such a condom catheters and penile clamps.  This is because the spinal trauma that they experienced may have caused damage to the nerves that control their bladder function.11,12

According to the National Institute of Neurological Disorders and Stroke, most spinal cord injuries affect bladder functions because the nerves that control the involved organs originate in the segments near the lower end of the spinal cord.  Although the kidneys continue to produce urine, bladder control may be lost and the risk of bladder and urinary tract infections increases.3

If you have been diagnosed with neurogenic bladder, it is important for you to follow your doctor’s orders on your care regimen. 


 

Please note that this information provided by BARD Medical is not intended to be used in place of a visit, consultation, or advice of a medical professional. Information is as of 12/2014.  Please check references for updated information. 

References

  1. Centers for Disease Control Spinal Cord Injury Fact Sheet http://www.cdc.gov/TraumaticBrainInjury/index.html
  2. National Spinal Cord Injury Statistical Center Spinal Cord Injury Facts and Figures at a Glance: https://www.nscisc.uab.edu/PublicDocuments/fact_figures_docs/Facts%202013.pdf , https://www.nscisc.uab.edu/PublicDocuments/fact_figures_docs/Facts%202014.pdf
  3. NIH: National Institute of Neurological Disorders and Stroke – http://www.ninds.nih.gov/disorders/spina_bifida/spina_bifida.htm
  4. Cleveland Clinic, Diseases and Conditions – Neurogenic Bladder, http://my.clevelandclinic.org/disorders/neurogenic_bladder/hic-neurogenic-bladder.aspx
  5. Sauerwein D. Urinary tract infections in patients with Neurogenic bladder dysfunction, Int J Antimicrob Agents. 2002 Jun; 19(6):592-7.
  6. ASIA International Standards for Neurological Classification of Spinal Cord Injury
  7. Clinical Neuroanatomy, 27th Edition, McGraw-Hill Education, 2014, Chapter 5-The Spinal Cord, Chapter 6. The Vertebral Column and Other Structures
  8. Principles and Practice of Hospital Medicine, McGraw-Hill Education, 2012, Chapter 63 – Common Neurosurgical Conditions
  9. Current Diagnosis and Treatment in Orthopedics, 5th Edition, McGraw-Hill Education, 2014
  10. Harrisons™ Principles of Internal Medicine, 18th Edition, McGraw-Hill Education, 2012, Chapter 377, Diseases of Spinal Cord
  11. Smith and Tanagho’s General Urology, 18th Edition. McGraw-Hill Education, 2013
  12. Textbook of Neurogenic Bladder, J.Corus MD and E.Schick MD, Martin Dunite Ltd., United Kingdon, 2004, Chapter 43 –Conservative Treatment