Spinal cord/brain injury and the neurogenic bladder.
This article reviews neurogenic bladder related to traumatic injury as well as vascular lesion of brain/spinal cord. Because urological manifestations of traumatic or vascular brain/spinal cord injury are highly diversified and complex, the approaches to achieve accurate diagnosis and administer proper treatment can be complicated. The goal of primary treatment is preservation of renal function and attainment of social continence. Maintaining low intravesical pressure and adequate bladder emptying are central to the treatment strategy. Diagnosis and appropriate urological management of these disease entities should depend on urodynamic studies because of poor correlation between clinical symptoms or somatic neurologic signs and urodynamic findings.
Department of Urology, Seoul National University Bundang Hospital, 300 Gumi-dong, Bundang-gu, Seongnam-si, Seongnam, 463-707, Korea.
Seong Jin
SJ
Jeong
Sung Yong
SY
Cho
Seung-June
SJ
Oh
D001930:Brain Injuries / Q000150:complications*; D005544:Forecasting; D006801:Humans; D013119:Spinal Cord Injuries / Q000150:complications*; D013997:Time Factors; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy