Neurogenic Bowel and Bladder Dysfunction After SCI: Review, Updates and Advances-Session Recording

Video Transcription

Video Summary

In a recent session on spinal cord injury, two significant topics were addressed: neurogenic bowel dysfunction and neurogenic lower urinary tract dysfunction. Presenters Gianna Rodriguez, a PM&R physician, and Mike Kennelly, a urologist, covered the latest guidelines and management strategies in these areas.<br /><br />For neurogenic bowel dysfunction, the focus was on understanding the anatomy, innervation, physiology, and pathophysiology to manage symptoms effectively. Bowel management strategies include dietary modifications, oral laxatives, and rectal interventions like digital stimulation or enemas. Gianna emphasized the importance of regular bowel movements, adequate stool consistency, and minimizing incontinence episodes, noting that patient education and tailored bowel programs are essential for maintaining quality of life.<br /><br />Mike Kennelly discussed the management of neurogenic lower urinary tract dysfunction, drawing from recent guidelines. The talk stressed risk stratification based on the location of injury and appropriate surveillance to protect the upper urinary tract. Management strategies for improving bladder storage include medications like anti-muscarinic agents, beta-3 agonists, and surgeries like augmentation cystoplasty. Effective bladder emptying might involve intermittent catheterization or surgical interventions in certain cases. The goal is to ensure low-pressure urine storage and efficient bladder emptying without complications.<br /><br />Both speakers highlighted the importance of surveillance and individualized care planning in managing these conditions, incorporating new standards and nomenclature to better align clinical practice with patient needs.

Keywords

spinal cord injury

neurogenic bowel dysfunction

neurogenic lower urinary tract dysfunction

management strategies

Gianna Rodriguez

Mike Kennelly

bowel management

bladder management

patient education

individualized care

clinical guidelines