Urodynamics: What? How? Why? In a patient with urinary symptoms often we need to know what is actually happennibg in the bladder when
Urodynamics: What? How? Why? In a patient with urinary symptoms often we need to know what is actually happennibg in the bladder when
Neurogenic Bladder : The Basics A Urinary bladder which has been affected because of a neurologic condition…
There is a difference between shedding of bacteria in urine (bacteriuria) and actual urine infection.
In a catheterised patient, mere presence of bacteria in urine which is shown as a positive urine culture report without any urinary symptoms or change in urinary symptoms is usually not infection. After catheterisation the probability of getting positive urine culture increases by 10% every day. In effect, …
Self catheterisation to empty their own bladders is the truth for so many patients dealing with neurogenic bladder conditions and many other types of voiding dysfunctions (conditions where one is either unable to pass urine or it is not safe for him/her to pass urine on his/her own). According to estimates more than 50 adult men and women of every 1 lakh population may be doing so. This is the only way to maintain safe storage of urine in many high risk neurogenic bladders ( covered in my earlier blog) or where the bladders have no reflexes and power to expel urine (atonic bladders).
Goals of managing a case of neurogenic bladder in the order of priority are:
Prevention of kidney failure
Prevention of recurrent and sever infections and sepsis
Preventing urinary leakage and keeping the patient dry
Spontaneous Voiding of urine from natural urinary passage
In effect, the expectation which the patient has of being able to pass urine on his own is the last priority for us because other life threatening issues take up priory…
A Urinary bladder which has been affected because of a neurologic condition (condition arising from damage to the brain, spinal cord or nerves) …
The PerineoUrology Clinic is not just a Clinic- It provides us a space where we can do all efforts to know more about …
Dr Nikhil Khattar ( The PerineoUrology Clinic )
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Delhi,110076
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