Chapter

Bladder management

G. J. Fellows

in Spinal Cord Dysfunction: Volume II: Intervention and Treatment

Published in print December 1991 | ISBN: 9780192617873
Published online March 2012 | e-ISBN: 9780191724312 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780192617873.003.0009
Bladder management

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Rehabilitation — physical, occupational, and social — is the aim of management after spinal cord injury or disease. The management of the lower urinary tract is crucial, since poor treatment may lead to unacceptable morbidity or even to renal failure and premature death. There are four overlapping phases of bladder management, as expectations of improved length and quality of life for the paralysed have risen. The management of the individual patient can be considered in four stages: early management, from the moment of injury until definitive management is instituted or the patient is discharged from hospital; intermediate management, from discharge from hospital until definitive management if the latter is delayed for any reason; definitive management; and derological surveillance, which should be lifelong for all patients. Different methods of management may need to be introduced at any stage if complications arise.

Keywords: rehabilitation; lower urinary tract; morbidity; renal failure; premature death; bladder management

Chapter.  8459 words.  Illustrated.

Subjects: Neuroscience

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