BLADDER-DETRUSOR SPHINCTER DYSSYNERGIA (DSD)

SUMMARY

1. Neurological injury between the sacral (S2-S4) and pontine micturition centers causes a lack of coordinated regulation of bladder function.

2. This can lead to high bladder pressures and should be treated to minimize renal dysfunction.

3. Small, overactive, spastic bladder (detrusor hyperreflexia) & spastic internal sphincter (sphincter hyperactivity).

4. Complications: vesicoureteric reflux resulting in increased residual volumes, recurrent UTIs.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.