BLADDER-MANAGEMENT (FOR DIFFERENT PATHOLOGIES)

SUMMARY

1. Detrusor Hyperreflexia/DSD: oral anticholinergics, beta₃ adrenergic receptor antagonists, intravesical botulinum toxin injection.

2. Low Bladder Compliance/Capacity: oral anticholinergics, bladder augmentation, ileal conduit.

3. Bladder Neck/Sphincter Insufficiency: alpha-agonists (e.g. Midodrine), artificial sphincter.

4. Bladder Neck/Sphincter Obstruction: alpha-antagonists (e.g. Prazosin, Dutasteride/Tamsulosin), relaxants (Baclofen, Diazepam, Botox), sphincterotomy.

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.