Resource CenterHealth & Wellness after SCIHealth and Wellness by sub-topicBladder management

2.6. Bladder management


1)    Primary resources

  • Bladder Care and Management
    Reviews the urinary system, how it works after an SCI, and types of bladder management programs. Discusses possible problems with the urinary tract, treatment methods and steps to staying healthy.  
  • Bladder Management Options Following Spinal Cord Injury  An information sheet that discusses bladder management options. Written by Todd A. Linsenmeyer, M.D., and Steven Kirshblum, M.D.,in collaboration with the Model Systems Knowledge Translation Center (MSKTC). 
  • Surgical Alternatives for Bladder Management Following SCI (2015)  An information sheet that discusses s urgical options when other bladder management strategies are ineffective . Developed by Todd A. Linsenmeyer, M.D., and Steven Kirshblum, M.D., in collaboration with the Model Systems Knowledge Translation Center.
  • Urinary Tract Infection and Spinal Cord Injury
    Published by the Model Systems Knowledge Translation Center (MSKTC). Urinary tract infections are one of the most common medical problems after SCI. The factsheet explains urinary tract infections, how to prevent them, and how they can be treated. The factsheet is also available in Spanish (PDF).
  • Bladder Management for Adults with Spinal Cord Injury: A Clinical Practice Guideline for Health-Care
    This evidence-based guideline was developed to describe the various methods of bladder management in adults with spinal cord injury.  Published by PVA on behalf of the Consortium for Spinal Cord Medicine.
  • Bladder Management  This 33 minute video outlines the importance of bladder management on QOL. The types of bladder management programs and techniques are illustrated (Male and female anatomical models utilized to demonstrate proper techniques). Prevention and treatment of UTI and risks for stone formation are also discussed.  This video 1 in an 11-part video series provided by the University of Alabama at Birmingham Spinal Cord Injury Model System (UAB-SCIMS). 
  • Management of Urinary Problems Caused by Spinal Cord Injury
    The SCI Forum presentation, Management of Urinary Problems Caused by Spinal Cord Injury, which took place on October 13, 2009 at the University of Washington Medical Center, is available as streaming video and written report. In this presentation, Stephen Burns, MD, Associate Professor, UW Department of Rehabilitation Medicine and staff physician, SCI Service, VA Puget Sound Health Care System, discusses the advantages and disadvantages of different methods of emptying the bladder and describes some of the testing used to screen the bladder and kidneys. In addition, two individuals with spinal cord injury talk about their personal experiences with bladder management problems and solutions.

2.)  Articles that discuss a variety of concerns and issues about bladder management

 3.) Other varied, helpful resources

  • Bladder Cancer: Who's at Risk?
    An article from 'PN/Paraplegia News', April, 2000 that reviews results of a recent bladder cancer survey completed by individuals with SCI
  • Botox helps Overactive Bladders and Incontinence   Botox is gaining ground for purely medical purposes. It is being used to treat bladder and urinary sphincter disorders, headaches, eyelid twitching, carpal tunnel syndrome, and excessive sweating, among others  
  • Intermittent Self-Catheterization Guidelines
    The National Association for Continence describes technique for intermittent self-catheterization for both male and female  
  • Relationship of Beverage Type and Fluid Intake with the Risk of Stone Formations in Persons with SCI  Research Update Newsletter, May, 2000 that investigates the effects of beverage type and fluid intake on stone formation among persons with spinal cord injury (SCI)
  • Urologic Complications and Management after SCI  Reviews concerns related to research & issues of bladder management, including new methods and technology
  • CathForFree A wholesaler who buys in large volumes for their clients and have direct accounts with major manufacturers such as Mentor, Bard, Hollister, CColoplast, etc. Every month they clean out their inventory and send it to individuals who use and need intermittent catheters. The free catheters are all brand-new and individually wrapped but have been taken out of their box. This offer is only good in the USA.

4.)   Organizational resources 

  • National Association For Continence  a national, private, non-profit 501(c)(3) organization dedicated to improving the quality of life of people with incontinence, voiding dysfunction, and related pelvic floor disorders. NAFC's purpose is to be the leading source for public education and advocacy about the causes, prevention, diagnosis, treatments, and management alternatives for incontinence.
  • The Simon Foundation for Continence: www.simonfoundation.org
  • Neurotech Network  provides information regarding neurotechnology urinary control devices

                   ******Advocacy Groups for incontinence ****** 

If you are living with a neurologic condition causing an overactive bladder that leads to urinary incontinence, finding useful information, resources, and support can make a difference. Below you'll find a list of organizations and associations where you can learn more and get involved. The organizations listed below do not endorse any specific treatment for urinary incontinence.

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