What are the complications of decompensated bladder in neurogenic bladder?

Updated: Dec 06, 2018
  • Author: Bradley C Gill, MD, MS; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Answer

For individuals with a decompensated bladder that does not empty well, the postvoid residual urine can lead to overgrowth of bacteria and subsequent urinary tract infection (UTI). In patients with neurogenic bladder, UTIs often do not produce classic symptoms; instead, these patients may present with abdominal or back pain, increased spasticity, and urinary incontinence. Untreated UTIs can quickly lead to life-threatening autonomic dysreflexia or sepsis, whereas overtreatment promotes antibiotic resistance. However, there are few evidence-based practices for preventing UTI in this population. [20]


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