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Bladder Management
Introduction
Types of Bladder Dysfunction in SCI
Detrusor Overactivity with DSD
Detrusor Underactivity
Therapeutic Interventions for Detrusor Overactivity with DSD
Enhancing Bladder Volumes Pharmacologically
Enhancing Bladder Volumes Pharmacologically – Anticholinergics
Toxin Therapy for SCI-Related Detrusor Overactivity
Enhancing Bladder Volumes Pharmacologically – Botulinum Toxin
Enhancing Bladder Volumes Pharmacologically – Capsaicin and Resiniferotoxin
Nociception/Orphanin Phenylalanine Glutamine
Intravesical Instillations for SCI-Related Detrusor Overactivity
Other Pharmaceutical Treatments for SCI-Related Detrusor Overactivity
Enhancing Bladder Volumes Non-Pharmacologically
Electrical Stimulation to Enhance Bladder Volumes
Surgical Augmentation of the Bladder to Enhance Volume
Enhancing Bladder Emptying Pharmacologically
Alpha-adrenergic Blockers for Bladder Emptying
Botulinum Toxin for Bladder Emptying
Other Pharmaceutical Treatments for Bladder Emptying
Enhancing Bladder Emptying Non-Pharmacologically
Comparing Methods of Conservative Bladder Emptying
Intermittent Catheterization
Specific Aspects of using Intermittent Catheterization
Comparison of Intermittent Catheterization Catheter Types
Triggering-Type or Expression Voiding Methods of Bladder Management
Indwelling Catheterization (Indwelling or Suprapubic)
Condom Catheterization
Continent Catheterizable Stoma and Incontinent Urinary Diversion
Electrical Stimulation for Bladder Emptying (and Enhancing Volumes)
Sphincterotomy, Artificial Sphincters, Stents and Related Approaches for Bladder Emptying
Other Miscellaneous Treatments
Detrusor Areflexia
Urinary Tract Infections
Defining Urinary Tract Infections
Detecting and Investigating UTIs
Non-Pharmacological Methods of Preventing UTIs
Intermittent Catheterization and Prevention of UTIs
Specially Covered Intermittent Catheters for Preventing UTI
Other Issues Associated with Bladder Management and UTI Prevention
Pharmacological and Other Biological Methods of UTI Prevention
Bacterial Interference for Prevention of UTIs
Antibiotic Prophylaxis of UTIs
Antiseptic and Related Approaches for Preventing UTIs
Alternative Approaches for UTI Prevention
Educational Interventions for Maintaining a Healthy Bladder and Preventing UTIs
Pharmacological Treatment of UTIs
Summary
Key Points
References
Outcome Measures
Functional Independence Measure (FIM)
Functional Independence Measure Self-Report (FIM-SR)
Klein-Bell Activities of Daily Living Scale (K-B Scale)
Lawton Instrumental Activities of Daily Living Scale (IADL)
Incontinence Quality of Life Questionnaire (I-QOL)
Qualiveen
Impact on Participation and Autonomy Questionnaire (IPAQ)
Self Reported Functional Measure (SRFM)
Spinal Cord Independence Measure (SCIM)
Spinal Cord Injury Secondary Conditions Scale (SCI-SCS)
Clinical Resources
Information Sheets, Toolkits, and Treatment Algorithms
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Enhancing Bladder Emptying Non-Pharmacologically
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Rehabilitation Evidence
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Bladder Management
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Therapeutic Interventions for Detrusor Overactivity with DSD
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Enhancing Bladder Emptying Non-Pharmacologically
Other Pharmaceutical Treatments for Bladder Emptying
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Comparing Methods of Conservative Bladder Emptying
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