Neurourology Flashcards
(13 cards)
Bladder inervation?
S2-S4
T11-T12
S3-S4
Detrusor contraction
S2-S4
Urine storage
Detrusor relaxation
Contracion of bladder neck and proximal urethra
T11-L2
Somatic innervation of external sphincter and pelvic floor muscles
S3-S4
Neurourologic reflexes
3
Bulbocavernosus
Anal
Cremasteric
Urinary frequency
Urgency
Nocturia
Urge incontinence
Suprapontine lesions
Distal sacral cord lesions?
Detrusor areflexia with normal compliance - initial
Bladder competent
Nonrelaxing smooth and fixed external urethral sphincter
Lesion above sacral cord?
Failure of both filling/storage and emptying
Urinary findings in spinal shock
Urinary retention
Lesion above T6 sympa outflow tract
Response to specific stimuli cause massive autonomic discharge
Autonomic dysreflexia
Headache
Hypertension
Bradycardia
Flushing with sweating above lesion
Autonomic dysreflexia
Areflexic bladder
Open bladder neck
Incontinence
Spinal dysraphism
Spinal dysraphism treatment?
CIC