Chapter 35: D/O of the Bladder and Lower Urinary Tract

Question 1

Spastic Neurogenic Bladder

Answer 1

small, hyperactive bladder

see uncontrolled bladder spasms, void small amounts of urine, and bladder becomes atonic

Question 2

Causes of Spastic Neurogenic Bladder

Answer 2

disorders above the the micturition reflex center
dysfunction of SNS (adrenergic system)
spinal cord injury, Parkinson’s CVA

Question 3

Treatment for Spastic Neurogenic Bladder

Answer 3

anticholinergics
muscle relaxers
bladder training

Question 4

Flaccid Neurogenic Bladder

Answer 4

failure to contract the detrusor muscle and empty urine

Question 5

Causes of Flaccid Neurogenic Bladder

Answer 5

dysfunction of PSNS (cholinergic system)
tumors
trauma
congenital disorders (spina bifida)
peripheral neuropathies (DM, Vitamin B12 deficiencies)

Question 6

Treatment for Flaccid Neurogenic Bladder

Answer 6

cholinergic medications

bladder training

Question 7

Host Defenses of the Bladder

Answer 7

mucin-producing cells
wash-out phenomenon
lactobacillus in perineal area
prostatic fluid