Urologic care of the spinal cord injury patient

Key Points

The elevated voiding pressure associated with poorly coordinate bladder and sphincter function sets in motion a series of changes in bladder morphology and function associated with gradual loss of bladder compliance or the normal accommodation of volume with very little change in Pdet.² This is characterized by a progressive elevation in the detrusor pressure response to incremental volume during the storage mode of bladder function. This condition-high bladder storage and voiding pressures-is the risk factor posed by any neuropathic bladder condition to bladder, urethral, ureteral, and renal function.