SPINA BIFIDA-NEUROGENIC BLADDER & BOWEL

SUMMARY

1. Often does not fit UMN/LMN patterns.

2. Risks of neurogenic bladder: reflux nephropathy, recurrent UTIs, renal calculus.

3. Bowel incontinence: 60-70% incidence.

4. Deterioration in bowel & bladder function can be due to shunt malfunction, tethering or syrinx.

5. Annual renal tract US: hydronephrosis, hydroureter, calculi, trabeculated or thickened bladder, bladder capacity and PVR.

6. Urodynamic studies to assess bladder filling pressures and DSD.

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.