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
Control of micturition
Normal urodynamics
Measure:
Bladder pressure
(Pves)
Rectal (abdominal)
pressure
(Pabd)
Calculate:
Detrussor Pressure
Pdet = Pves - Pabd
Volitional control of micturition
Storage & voiding reflexes
Neurogenic bladder types
Cerebral
Detrussor instability due to loss of volitional
inhibition
Suprasacral spinal
Detrussor sphincter dyssynergia
Sacral & peripheral
Detrussor areflexia
Neurogenic bladder types