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Traumatic Lesions

  • Frank M. J. Martens
Chapter

Abstract

Traumatic lesions including head trauma, traumatic spinal cord injury and iatrogenic peripheral nerve injury can cause damage to this extensive network of innervations of the bladder. This will result in bladder and/or sphincter dysfunction like detrusor overactivity with or without detrusor sphincter dyssynergia and detrusor hypocontractility depending on the level and extent of injury. After the spinal shock phase is resolved, patients should be assessed by urodynamics.

Comorbidity is an important factor in these patients. Although mortality decreased and urologic and medical management improved, morbidity and patient well-being are still important issues in spinal cord injury patient management, including vesicoureteral reflux, urinary tract infections, urolithiasis and urinary incontinence. Autonomic dysreflexia is a potential life-threatening complication, which can occur during urological procedures.

Keywords

Spinal cord injury Neurogenic bladder Detrusor overactivity Detrusor underactivity Autonomic dysreflexia 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of UrologyRadboudumcNijmegenThe Netherlands

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