General Objectives of the Diagnosis  

Objectives of the diagnosis procedures in SCI

  • To identify risk factors for the upper urinary tract

Pressure is the most important factor

  • Ultimate purpose of the management of SCI is to preserve renal function.
  • Pressure is the main determinant to renal deterioration in long-term management of SCI patients. All effort is directed to identify the high pressure.
  • Urodynamic diagnosis is directed to identify possible factors that are associated with high pressure.
  • Treatment is directed to correct factors that cause high pressure.
  • Also refer to this

Overview of the diagnosis and management of SCI/D

 

Key Points of This Section
  • The controllable variable in any neurogenc bladder is detrusor pressure.
  • Our diagnostic efforts are directed at that variable, and the underlying causes of pressure in the bladder: high outlet resistance, compensatory bladder responses to outlet resistance, bladder fibrosis related to catheter drainage, or other trauma, high residual urine volumes, non compliance with CIC protocols, failure to take medication
  • Our treatments are directed at those things which cause high pressure or directly at the bladder which has already developed dangerous pressures.

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