Neurogenic Bladder:: Assessment and Operative Management.

Urol Clin North Am

University of Minnesota, 420 Delaware St SE, Minneapolis, MN 55455, USA.

Published: August 2022

AI Article Synopsis

  • The text discusses a phenotype-based strategy for understanding neurogenic bladder (NGB) in patients with various conditions like spinal cord injury, spina bifida, cerebral palsy, and multiple sclerosis.
  • It outlines surgical management options based on whether the main issue is inability to store or empty urine, highlighting techniques such as catheterizable channels and bladder augmentation.
  • The importance of addressing complications and considering factors like social support, body type, and limb function is emphasized for better surgical outcomes.

Article Abstract

We present a phenotype-based approach to neurogenic bladder (NGB) by describing prototypical patients with spinal cord injury (SCI), spina bifida (SB), cerebral palsy (CP), and multiple sclerosis (MS). Surgical management is categorized by failure to store and failure to empty, with a focus on catheterizable channels, bladder augmentation, and bladder outlet procedures. Mitigation and management of common complications are reviewed. Specific attention is paid to social support, body habitus, and extremity function, as we believe a holistic approach is necessary for appropriate surgical selection.

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Source
http://dx.doi.org/10.1016/j.ucl.2022.04.010DOI Listing

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