Book contents
- Pelvic Organ Dysfunction in Neurological Disease
- Pelvic Organ Dysfunction in Neurological Disease
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Section 1 Neurological control of pelvic organ functions
- Section 2 Evaluation and management
- Chapter 4 Approach and evaluation of neurogenic bladder dysfunction
- Chapter 5 General measures and non-pharmacological approaches
- Chapter 6 Neurogenic bladder dysfunction: pharmacological interventional approaches
- Chapter 7 Neurogenic bladder dysfunction: surgical interventional approaches
- Chapter 8 Approach and evaluation of neurogenic bowel dysfunction
- Chapter 9 Neurogenic bowel management
- Chapeter 10 Evaluation and management of neurogenic sexual dysfunction
- Section 3 Specific conditions
- Appendix 1: Management algorithms
- Appendix 2: Surveys and questionnaires
- Index
Chapter 7 - Neurogenic bladder dysfunction: surgical interventional approaches
from Section 2 - Evaluation and management
Published online by Cambridge University Press: 06 December 2010
Book contents
- Pelvic Organ Dysfunction in Neurological Disease
- Pelvic Organ Dysfunction in Neurological Disease
- Copyright page
- Contents
- Contributors
- Foreword
- Preface
- Section 1 Neurological control of pelvic organ functions
- Section 2 Evaluation and management
- Chapter 4 Approach and evaluation of neurogenic bladder dysfunction
- Chapter 5 General measures and non-pharmacological approaches
- Chapter 6 Neurogenic bladder dysfunction: pharmacological interventional approaches
- Chapter 7 Neurogenic bladder dysfunction: surgical interventional approaches
- Chapter 8 Approach and evaluation of neurogenic bowel dysfunction
- Chapter 9 Neurogenic bowel management
- Chapeter 10 Evaluation and management of neurogenic sexual dysfunction
- Section 3 Specific conditions
- Appendix 1: Management algorithms
- Appendix 2: Surveys and questionnaires
- Index
Summary
This chapter describes the different surgical procedures for managing a neurogenic bladder. The procedures include electrical stimulation, bladder and urethral reconstructive surgery, bladder outlet obstruction management and the treatment of stress urinary incontinence. Electrical stimulation to manage bladder dysfunction in patients with neurological disorders has been used since 1950. Electrical stimulation therapies include intravesical electrostimulation, sacral neuromodulation and sacral anterior root stimulation with selective sacral rhizotomy. Cutaneous continent diversions may be performed in neurological patients, mainly in the young myelomeningocele patient or those with spinal cord injury (SCI) who cannot perform clean intermittent self-catheterization (CISC) via the urethra because of congenital abnormalities, urethral pain, obesity, strictures or poor hand mobility. Finally, the chapter describes the suprapubic catheter (SPC), and sphincter surgery, which relieves bladder outlet obstruction due to external urethral sphincter contraction.
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- Information
- Pelvic Organ Dysfunction in Neurological DiseaseClinical Management and Rehabilitation, pp. 112 - 126Publisher: Cambridge University PressPrint publication year: 2010
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