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Neurogenic bladder Neurogenic Bladder pic (diagnostic tests (ureteroscopy,…
Neurogenic bladder
definition
disruption of nerve impulse transmission
transmission from bladder to brain
causes
tobacco smoking
diseases such as multiple sclerosis
spinal lesions
injuries
tumours
sign and symptoms
bladder fills and empties without control
urinary retention and frequency
overflow incontinence
loss of sensation
history of spinal trauma,cerebrovascular disease
diagnostic tests
ureteroscopy
radiological investigation
measurement of residual urine
neurophysiological examination of pelvic floor
urinalysis detect UTI and metabolic diseases
cystoscopy determines loss of elastic tissue
pathophysiology
such as spinal bifida or brain damage
may be due to paralysis of lower limbs
as a result of spinal defects
impact on may bladder may be incontinence
is due to interruption of nerve supply to bladder
nursing care plan
administer medication as prescribed (antimuscatinics)
surgical interventions incase needed
patient education for catheter care
self catheterisation for adequate emptying of bladder
health education on behavior modification (stop smoking)