SPINA BIFIDA-BLADDER MANAGEMENT

SUMMARY

1. Spontaneous voiding if safe and continence is maintained.

2. Intermittent self-catheterization is gold standard.

3. Anti-cholinergic therapy.

4. Mitrofanoff tract: peculiar to spina bifida. Useful in patients who wish to self-catheterize. Can be done in adults/children.

5. SPC insertion: when patients loose the ability to transfer.

6. "
color: var(--field-fg); background: var(--field-bg);"
>Sacral "color: var(--field-fg); background: var(--field-bg);"
>nerve stimulation."

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.