Bowel, Bladder, and Sexual Function . Neurogenic bladder refers to any changes in bladder function that occur due to SCI. Depending on your level of injury, two general kinds of bladder dysfunction. The bladder muscle may spasm and contract on its own. You may have frequent small urinations or not be able to empty at all. The bladder may not empty with each contraction. This type of bladder is common with SCI above the sacral level. Areflexic (flaccid) bladder has lost its ability to contract and can be easily stretched, allowing large amounts of urine to accumulate. Because the muscle does not contract, the bladder can overfill and leak. This type of bladder activity is common when SCI affects the spinal nerves in your sacral spinal cord. Bladder Management. The main goal of bladder management is to protect kidney function. If the bladder is not functioning well, the kidneys may stop filtering the blood. The second goal of bladder management is to avoid incontinence. Wet skin can promote pressure ulcers. Incontinence also is not socially acceptable. Bladder- Emptying Techniques. The bladder should be emptied regularly and completely. A number of tests can evaluate the structure and function of the urinary system. Genitourinary testing during routine annual checkups with your SCI doctor is recommended. One common form of bladder emptying is intermittent catheterization procedure (ICP). You will want to limit your bladder volume to around 3. More than 5. 00 ml in the bladder overstretches your bladder muscle and can lead to infection or reflux. Adjustments may have to be made in frequency of catheterizations and your fluid intake in order to maintain cath volumes of less than 5. Another type of bladder emptying is an indwelling catheter. Two types of continuous drainage are urethral (Foley) and suprapubic catheters. Bowel Function. Neurogenic bowel is a condition that affects the body. Generally two basic patterns of neurogenic bowel occur after SCI: Reflexic bowel usually results from SCI at the neck or chest level. This type of SCI interrupts messages between the colon and the brain that are relayed by the spinal cord. Below the level of injury, the spinal cord still coordinates bowel reflexes. With a reflexic bowel, a bowel program using digital rectal stimulation and stimulant medications help to push the stool out according to a set time. Areflexic bowel usually results from SCI that damages the lower end of the spinal cord or the nerve branches that go out to the bowel. In this case you have reduced reflex control of your anal sphincter. Dr Gary McKay is trained in minimally-invasive and laparoscopic. Find patient medical information for SENNA on WebMD including its uses, effectiveness, side effects and safety, interactions, user ratings and products that have it. Bowel, Bladder, and Sexual Function Bladder Function. After a spinal cord injury (SCI), nerve impulses from the bladder may no longer tell your brain that your bladder is full, or allow you to void on your own. Better Bladder and Bowel Control. Multimedia health information for patients, caregivers and providers supplied by Harvard Medical School. Industry News Briefs from the International Neuromodulation Society Industry News Feed. News Feed Menu FDA Clears Deep Brain Stimulation Tool. 26, 2016 - Medtronic Inc.This type of neurogenic bowel is typically managed with digital evacuation. Medications, alcohol and other drugs, and diet can all affect bowel function. A well- designed bowel program can help prevent accidents and can. Issues with sexual health and reproduction may vary by individual; thus, treatment programs should be individualized. Depending on the level of injury, men with SCI may not be able to achieve or maintain an erection, and women with SCI may not be able to produce adequate vaginal lubrication. 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