How is neurogenic bladder managed in central cord syndrome (CCS)?

Updated: May 21, 2020
  • Author: Michelle J Alpert, MD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Neurogenic bladder

  • Acutely injured patients often experience bladder retention that requires the placement of a Foley catheter for drainage.

  • Once fluid status has been stabilized, the indwelling catheter should be discontinued and bladder training, as well as intermittent catheterization, should begin.

  • Bladder function usually returns in the first 6 months.

  • Studies show that 52-84% of patients eventually have normal, spontaneous voids.

  • Patients who do not return to normal bladder function should be taught to do intermittent catheterization if manual dexterity permits.


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