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