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Neurogenic Bladder Dysfunction

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

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Neurogenic Bladder Dysfunction

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

  2. Urinary Tract Anatomy

  3. Urinary tract innervation

  4. Urinary tract innervation

  5. Control of micturition

  6. Normal urodynamics • Measure: • Bladder pressure (Pves) • Rectal (abdominal) pressure (Pabd) • Calculate: • Detrussor Pressure Pdet = Pves - Pabd

  7. Volitional control of micturition

  8. Storage & voiding reflexes

  9. Neurogenic bladder types • Cerebral • Detrussor instability due to loss of volitional inhibition • Suprasacral spinal • Detrussor sphincter dyssynergia • Sacral & peripheral • Detrussor areflexia

  10. Neurogenic bladder types

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