neurogenic bladder dysfunction

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Neurogenic Bladder Neurogenic Bladder Dysfunction Dysfunction Sean Collins, M.D. Sean Collins, M.D. Assistant Professor Assistant Professor Department of Urology Department of Urology New Orleans, LA New Orleans, LA Fellow Fellow Minimally Invasive Urologic Oncology Minimally Invasive Urologic Oncology Columbia Presbyterian Medical Center Columbia Presbyterian Medical Center New York, New York New York, New York

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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

  • Urinary Tract Anatomy

  • Urinary tract innervation

  • Urinary tract innervation

  • Control of micturition

  • Normal urodynamicsMeasure:Bladder pressure (Pves)Rectal (abdominal) pressure(Pabd)Calculate:Detrussor PressurePdet = Pves - Pabd

  • Volitional control of micturition

  • Storage & voiding reflexes

  • Neurogenic bladder typesCerebralDetrussor instability due to loss of volitional inhibitionSuprasacral spinalDetrussor sphincter dyssynergiaSacral & peripheralDetrussor areflexia

  • Neurogenic bladder types