neurogenic bladder dysfunction
Post on 22-Nov-2015
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Neurogenic Bladder DysfunctionSean Collins, M.D.Assistant ProfessorDepartment of UrologyNew Orleans, LA
FellowMinimally Invasive Urologic OncologyColumbia Presbyterian Medical CenterNew York, New York
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Urinary Tract Anatomy
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Urinary tract innervation
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Urinary tract innervation
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Control of micturition
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Normal urodynamicsMeasure:Bladder pressure (Pves)Rectal (abdominal) pressure(Pabd)Calculate:Detrussor PressurePdet = Pves - Pabd
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Volitional control of micturition
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Storage & voiding reflexes
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Neurogenic bladder typesCerebralDetrussor instability due to loss of volitional inhibitionSuprasacral spinalDetrussor sphincter dyssynergiaSacral & peripheralDetrussor areflexia
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Neurogenic bladder types
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