bladder clinical - Spinal Cord Injuries and the Bladder

Question 1

which type of injury are the important clinical considerations of the bladder?

Answer 1

spinal cord lesions

Question 2

how many different clinical syndromes are there? why?

Answer 2

there are 2 depending on where the damage has occurred

Question 3

what are the 2 different types of clinical syndromes?

Answer 3

reflex bladder

flaccid bladder

Question 4

when does a reflex bladder occur?

Answer 4

Spinal Cord Transection Above T12

Question 5

what is a reflex bladder?

Answer 5

the afferent signals from the bladder wall are unable to reach the brain

Question 6

what happens when the afferent signals from the bladder wall are unable to reach the brain?

Answer 6

the patient will have no awareness of bladder filling

Question 7

what else happens in reflex bladder?

Answer 7

There is also no descending control over the external urethral sphincter, and it is constantly relaxed

Question 8

why is it known as the reflex bladder?

Answer 8

There is a functioning spinal reflex, where the parasympathetic system initiates detrusor contraction in response to bladder wall stretch. Thus, the bladder automatically empties as it fills

Question 9

what is a flaccid bladder?

Answer 9

Spinal Cord Transection Below T12

Question 10

what will a spinal cord transection at this level will have damaged?

Answer 10

the parasympathetic outflow to the bladder

Question 11

which muscle will it affect? how?

Answer 11

The detrusor muscle will be paralysed, unable to contract

Question 12

what does not function in a flaccid bladder?

Answer 12

the spinal reflex

Question 13

what happens in a flaccid bladder?

Answer 13

the bladder will fill uncontrollably, becoming abnormally distended until overflow incontinence occurs.