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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.

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neurogenic bladder dysfunction

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

normal urodynamics
Normal urodynamics
  • Measure:
    • Bladder pressure (Pves)
    • Rectal (abdominal) pressure

(Pabd)

  • Calculate:
    • Detrussor Pressure

Pdet = Pves - Pabd

neurogenic bladder types
Neurogenic bladder types
  • Cerebral
    • Detrussor instability due to loss of volitional inhibition
  • Suprasacral spinal
    • Detrussor sphincter dyssynergia
  • Sacral & peripheral
    • Detrussor areflexia